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CITY OF ORONO <br /> * 2 0 1 6 — 0 0 7 2 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 155 TRUFFULA TR <br /> PIN 33-118-23-44-0040 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE VENTILATION <br /> VALUATION : $ 1,100.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)BATH EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.55 <br /> WESTIN PLUMBING&HEATING INC TOTAL 50.55 <br /> 15494 67TH STREET Payment(s) <br /> BECKER,MN 55308- CREDIT CARD 6236 50.55 <br /> (763)913-8613 <br /> Minnesota State License#: <br /> PLUM-PC645 827,mech-MB003 074 <br /> OWNER <br /> STAGGS,JEFF <br /> 155 TRUFFULA TR <br /> LONG LAKE,MN 55356- <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 /> /& , p�2 <br /> Tp-plicault itee Signature Date Issued ty S' ature Date <br />