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� <br /> CITY OF ORONO PERMIT NO.: 2010-00432 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,050.00 <br /> NOTE: (4)-MOVE SUPPLY AND RETURNS <br /> APPLICANT MECHANICAL 50.00 <br /> LARSON PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 0.53 <br /> 3095 162ND LANE NW TOTAL 50.53 <br /> ANDOVER, MN 55304 <br /> (763)427-7680 <br /> OWNER <br /> MCKEE, MR. & MRS. MELVIN <br /> 1815 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <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[3uilding 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.'I�his permit will <br /> expire and become null and void if construction authorizcd is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspendcd 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 /> r. <br /> �`� � �i Zv(C� ' '7 <br /> Ap lic n Pe��� tee Signature Date Is e By Signature D�ate � �� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />