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CITY OF ORONO <br /> 1111111111111111 111I iiiiII II 11 <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 <br /> DATE ISSUED: 07/10/201 7 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1099 WILLOW DR S <br /> PIN : 10-117-23-24-0016 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 19,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> FURANCE,BOILER,A/C UNIT <br /> 3 BATH EXHAUST <br /> APPLICANT MECHANICAL 237.50 <br /> STATE SURCHARGE MECH(VALUATION) 9.50 <br /> NMS MECHANICAL TOTAL 247.00 <br /> 15981 JORDAN AVE SE <br /> JORDAN, MN 55352- Payment(s) <br /> CHECK 6409 247.00 <br /> OWNER <br /> DOWNING,KATHERINE <br /> 1099 WILLOW DR S <br /> WAYZATA, MN 55391- <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 /> • <br /> Terkh 7 /4 ll� <br /> Appli u t ermitee Signature Date Issued y ature Date <br />