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' CITY OF ORONO * Z 0 1 6 - 0 PJ 1 5 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 BROWN RD N <br /> PIN : 34-118-23-12-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 15,000.00 <br /> NOTE: ADDITIONAL ITEMS:2 HEATING SYSTEMS(GOODMAN),2 COOLING SYSTEMS(GOODMAN), 1 KITCHEN EXHAUST,4 BATH <br /> EXHAUST <br /> GAS LINE FOR MAIN,DRYER&COOKTOP <br /> APPLICANT MECHANICAL 187.50 <br /> STATE SURCHARGE MECH(VALUATION) 7.50 <br /> WILLIAM H.GILBERTSON LLC TOTAL 195.00 <br /> 5910 HAWTHORNE RD <br /> MOCTND, MN 55364- Payment(s) <br /> (612)702-3428 CHECK 5811 195.00 <br /> Minnesota State License#: mech-MB62343600 <br /> OWNER <br /> HUTTER, ROBI&ALICIA <br /> 770 BROWN RD N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and Ihe <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 afrer 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. 1`�fj`� <br /> - ,— i <br /> i r \) -� <br /> %�3�` c � <br /> ����-�,�,�Y-- �' <=,���� f ���-�v � , < <, i �,, <br /> Applicant Permitee Signature Date Issued By Signature Date <br />