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CITY OF ORONO * Z 0 1 6 - 0 0 3 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 155 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0014 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 2,000.00 <br /> NOTE: VENT 300 CFM KITCHEN HOOD,MODIFY(2)SUPPLIES AND(1)RETURN <br /> APPLICANT MECHAMCAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> SAYLER HEATING&AC MAIL-IN FEE 2.00 <br /> 6800 WEST LAKE ST. <br /> ST.LOUIS PARK,MN 55426- TOTAL 53.00 <br /> (612)702-6622 Payment(s) <br /> CREDIT CARD 3833 53.00 <br /> OWNER <br /> SMITH,DOUGLAS <br /> 155 GOLDEN VIEW DR <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 /> 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. � � <br /> � ��, <br /> ,1 ����� �( � I � l <br /> Applicant Permitee Signature ate Issued By Si ature Date <br />