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"' " CITY OF ORONO PERMIT NO.: 20��-o�4�g <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DA'rE �SSUED: 1U23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 650 BROWN RD N <br /> PIN : 34-118-23-12-0004 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,450.00 <br /> NOTE: (1)KITCHEN EXHAUST-DUCT-300 CFM <br /> APPLICANT MECHANICAL 50.00 <br /> AIR QUALITY SERVICES, INC. STATE SURCHARGE MECH(VALUAT[ON) 0.73 <br /> 6221 CAMBRIDGE STREET <br /> BOX A6 TOTAL 50.73 <br /> ST LOUIS PARK, MN 55416- <br /> (952)928-3835 <br /> OWNER <br /> GARRETT, WARREN&TANA <br /> 650 BROWN RD N <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 /> no[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 da[e of issuance,or if construc[ion 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 con rmance with the State Building Code.This permit may be <br /> r�ed at ny�ti e f du eause. <br /> � � <br /> : �-� / ��/ � �� � ��� �� <br /> pl�cant Permitee Signature Date Issued y SignaCure �� Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />