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� ' <br /> t <br /> CITY OF ORONO * Z 0 1 4 - 0 0 3 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1245 SIXTH AVE N <br /> PIN : 26-118-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 291 <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . - , _ �'YLt,�.�-"���- �--�--- <br /> VALUATION : $ 15,420.00 <br /> NOTE: FURNACE <br /> KITCHEN EXHAUST <br /> (2)BATI-1 EXtIAUST <br /> GASLINE TO RANGE <br /> APPLICANT MECHANICAL 192.75 <br /> STATE SURCHARGE MECH (VALUATION) 7.71 <br /> SELECT MECHAN[CAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- TOTAL 202.46 <br /> (952)926-4488 Payment(s) <br /> CREDIT CARD 3074 202.46 <br /> OWNER <br /> GRANT, PETER <br /> ]245 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> rhe 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 E3uilding Code. This permit is for only the work described and does <br /> not gran[pennission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances governing[his type of work <br /> shall be compied with whether or no[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 construclion 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 E3uilding Code.'I�his pennit may be <br /> revoked at any time for due cause. <br /> � � �.�-� 5 � ,�� <br /> Applicant Permitee Signaturc Date Issue y Signature Date <br />