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t CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 6 1 <br /> DATE ISSUED: 12/06/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2425 OLD BEACH RD <br /> PIN : 21-117-23-22-0016 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 1,800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> EXTEND DRYER AND EXTEND SUPPLY RUNS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.75 <br /> ALLAN MECHANICAL,INC. M <br /> 7875 FULLER ROAD AIL-IN FEE 2.00 <br /> EDEN PRAIRIE,MN 55344- TOTAL 52.75 <br /> (952)934-3999 Payments) <br /> CHECK 65271 52.75 <br /> OWNER <br /> WEINER,FREDERICK&ELIZABETH <br /> 2425 OLD BEACH RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> f <br /> Applicant Permitee Signature z7 Dale Ts-stled By Si&e Date <br />