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CITY OF ORONO * z 0 1 5 - 0 1 1 3 3 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2015 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIN : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE <br /> VALUATION : $ 18,500.00 <br /> NOTE: 1 HEATING SYSTEM IN HOUSE, 1 HEATING SYSTEM IN GARAGE, 1 COOLING SYSTEM <br /> VENT[LAT[ON: 1 K[TCHEN EXHAUST,7 BATH EXHAUSTS, 1 BALANCED AIR EXCHANGER <br /> GAS L[NES FOR:2 F[RF,PLACFE, 1 DRYER, 1 COOKTOP/RANGF <br /> APPLICANT MECHANICAL 231.25 <br /> STATE SURCHARGE MECH (VALUATION) 9.25 <br /> CITY WIDE MECHANICAL INC. TOTAL 240.50 <br /> 12078 253RD AVE NW <br /> ZIMMERMAN, MN 55398 Payment(s) <br /> (763)856-0500 CHECK 15568 240.50 <br /> OWNER <br /> N[H HOMES <br /> 6840 213TH AVE <br /> ELK R1VER,MN 55330- <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 goveming[his type of work <br /> shall be compied with whether or not specified herein.This perrnit 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 con rm ce with the State Building Code.This permit may be <br /> revoked t an t e f d cause. — ���"� <br /> -3 1��-� ' `'� ���� �'l �- �, <br /> -l� � � � � <br /> Appli t Pe itee Signature Date Issued By Signature Date <br />