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� CITY OF ORONO <br /> { 2750 KELLEY PARKWAY * 2 B 1 4 - 0 1 0 0 0 * <br /> DATE ISSUED: 09/04/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1404 BALDUR PARK RD <br /> PIIV : 08-117-23-34-0018 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 014 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 28,500.00 <br /> NOTE: 2 COOLING SYSTEMS,DUCTWORK,4 GASLINES TO FIREPLACE,5 BATH FANS, DRYER VF,NT,2 GASLINE TO STOVE, <br /> GASLINE TO DRYER,2 GASLINES TO F3E3Q, <br /> APPLICANT MECHANICAL 35625 <br /> STATE SURCHARGE MECH (VALUATION) 14.25 <br /> HEATING&COOLING DESIGN INC TOTAL 370.50 <br /> 10830 ABLE STREET <br /> BLAINE, MN 55449- Payment(s) <br /> CHECK 4132 370.50 <br /> (612)328-7172 <br /> OWNER <br /> MILBRATH, BENJAM[N <br /> 2909 WEST DAYTON LANE <br /> SPOKANE, WA <br /> , 99218- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he 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 separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> sha►I be compied with whether or not specified herein.'Chis 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 app(icant is responsible for assuring ail 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />