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< < CITY OF ORONO <br /> * Z 0 1 5 - 0 1 1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/1U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3210 GRAHAM HILL RD <br /> PIN : OS-117-23-ll-0009 <br /> LEGAL DESC : GRAHAM HILL PRESERVE-2 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 900.00 <br /> NOTE: IN FLOOR TUBING FOR RADIANT HEAT <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.45 <br /> MANATEE PLUMBING TOTAL 50.45 <br /> 11525 199TH CIRCLE Payment(s) <br /> SILVER LAKE,MN 55381- CHECK 8888 50.45 <br /> (612)756-1172 <br /> Minnesota State License#: plbg-005923PM <br /> OWNER <br /> MESENBURG, MATT&MICHELLE <br /> 2525 KELLER ROAD <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 Ciry approvals,and the <br /> State Building Code. This permi[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 construc[ion 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 conformance with the State Building Code.This permit may be . <br /> revoked at any time for due cause. <br /> � v�� `� �- � ��-1 � �� � � /l � �.5 <br /> App icant Pe itee Signature Date Issued B ignature Date <br />