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, , CITY OF ORONO * z 0 1 5 - 0 0 7 7 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1291 BRIAR ST <br /> PIN : 10-117-23-31-0043 <br /> LEGAL DESC : CRYSTAL BAY M[NNETONKA <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 450.00 <br /> NOTE: ADDING(2)SUPPLY'S AND(1)BATH FAN VENT ONLY <br /> APPWCANT MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.22 <br /> LEGEND SERVICES, INC <br /> 201 N MEDINA ST TOTAL 50.22 <br /> P O BOX 382 Payment(s) <br /> LORETTO, MN 55357- CREDIT CARD 1282 50.22 <br /> (763)479-5002 <br /> Minnesota State License#: mech-MB005090 <br /> OWNER <br /> KELLETT, KEVIN CURLEY& W <br /> P.O. BOX 41 <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permi[is issued shall be performed according[o <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 goveming 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[he date of issuance,or if construction is <br /> suspended for a period of 180 days a[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 /> L J � �,-C'�So � , ��, /s <br /> Applicant Permitee Signature Date Issue y Signature Date <br />