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CITY OF ORONO * Z 0 1 6 - 0 0 7 S 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/O8/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1360 RAILROAD AVE <br /> PIN : 10-117-23-31-0007 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ADDITIONAL BATH EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> COUNTRYSIDE HEATING COOLING <br /> 1960 COLJNTY ROAD 90 TOTAL 51.25 <br /> SUITE 200 Payment(s) <br /> MAPLE PLAIN,MN 55359 CASH 5125 <br /> (763)479-1600 <br /> Minnesota State License#:mech-MB680636 <br /> OWNER <br /> TWELVES, STEVE&SALLY <br /> 1360 RAILROAD AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections ue <br /> requested in conformance with t State �lding Code.This permit may be 7 . <br /> revoked atfany time fo� ; I(`� <br /> ;;� ` ,/ <br /> � �J C� �' �S l� r�C ��' (� ) ���-�. � � �C� -7� �S' �/ �, <br /> pplicant Pe e Signature Date Issued By Signature Date <br />