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`^ CITY OF ORONO <br /> * 2 0 1 5 - 0 0 3 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 99 SIXTH AVE N <br /> PIN : 25-118-23-44-0012 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> NOTE: l BATH GXHAUST&MOVE 1 SUPPLY DUCT <br /> APPLICANT MECHAMCAL(<$500) 15.00 <br /> STATE SURCHARGE MECH(<$500) 5.00 <br /> J&A MECHANICAL LLC TOTAL 20.00 <br /> 8448 KELL AVE S Payment(s) <br /> BLOOMINGTON,MN 55437- CHECK 1416 20.00 <br /> (952)486-3413 <br /> Minnesota State License#:mech-MB652228 <br /> OWNER <br /> BRISCOE, MR.&MRS. <br /> 99 SIXTH AVE N <br /> WAYZATA,MN 55391- <br /> AGREEMENT AIYD SWORN STATEMEIVT <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 no[ <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. Q <br /> N� <br /> �--Z'�-1 S� �.L(�, �--C l'�''l�l L C G 1 -j � � y � � � <br /> �r ermitee Signature Date Issued By Signature Date <br />