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CITY OF ORONO <br /> * 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 S PJ 7 * <br /> DATE ISSUED: 07/29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 900.00 <br /> NOTG: REVISt? EXIS"I�ING IN}'LOOR HEATING 1'OR RF,MODEI,ED MAST�:R BATH AREA <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.45 <br /> PALADIN PLUMBING LLC MAIL-IN FEE 2.00 <br /> 13963 45TH PLACE NE <br /> ST MICHAEL, MN 55376- TOTAL 52.45 <br /> (763)432-5260 Payment(s) <br /> CHECK 3163 52.45 <br /> OWNER <br /> MCCABE, ROGER <br /> 1265 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'fhe 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. 'I�his 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 /> commeneed within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter 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 an time for due cause. <br /> � L <br /> '�� �� / / <br /> Applicant Permitee Signature Date [ssued By nature Datc <br />