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CITY OF ORONO PERMIT NO.: 2011-00198 <br /> ' 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssuEn: 04/04/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 155 �t�1'� IJ'� <br /> PIN : 32-118-23-43-0016 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br />; .PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 23,000.00 <br />' NOTE: 1 TRANE NAT GAS FURNACE <br />' 1 TRANE 5 TON AC <br /> � 1 KITCHEN EXHAUST <br /> 1 DRYER FAN <br /> 2 GAS LINES <br /> APPLICANT MECHANICAL 287.50 <br /> RAY N. WELTER HEATING CO STATE SURCHARGE MECH(VALUATION) 11.50 <br /> 4637 CHICAGO AVE <br /> MINNEAPOLIS,MN 55407- MAIL-IN FEE 2.00 <br /> (612)825-6867 MISC FEE 0.00 <br /> TOTAL 301.00 <br /> OWNER <br /> ROLL&JACQUELINE WILLIAMS-ROLL,MICHAEL <br /> 75 FERNDALE RD N <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 Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> �permits. All provisions of laws and ordinances goveming 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 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 /> ��(�(,C.1/� �-- / / / / <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. <br />