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CITY OF ORONO III I III I II 11111 .1111111 II <br /> * 20 1 4 - 0 1 0 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1001 WILDHURST TR <br /> PIN : 07-117-23-21-0013 <br /> LEGAL DESC : MOUNT HOME PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: 1ST FLOOR WATER CLOSET <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> STATE SURCHARGE MECH(<$500) 5.00 <br /> J&J MECHANICAL INC MAIL-IN FEE 2.00 <br /> 811 8TH STREET,UNIT 11 <br /> FARMINGTON,MN 55044 TOTAL 22.00 <br /> (651)724-0973 Payment(s) <br /> CREDIT CARD 0479 22.00 <br /> OWNER <br /> MUNSCH,BOAKE&MELISSA <br /> 1001 WILDHURST TR <br /> MOUND,MN 55364- <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 /> L4—) I- q <br /> t <br /> Applicant Permitee Signature Date Issue Signature Date <br />