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, � CITY OF ORONO * 2 0 1 6 - 0 0 2 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 19,500.00 <br /> NOTE: (1)BRYATN FURNACE <br /> (1)MODINE FURNACE <br /> (1)BRYATN A/C <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> (2)DRYER FANS <br /> GASLINE FOR FIREPLACE,RANGE,AND GARAGE HEATER <br /> APPLICANT MECHANICAL 243.75 <br /> STATE SURCHARGE MECH(VALUATION) 9.75 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 255.50 <br /> (763)42&3677 Payment(s) <br /> CREDIT CARD 4334 255.50 <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <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 /> � ���l.�c-��ec�. 6 �`�t�v � � �- ��C� <br /> Applicant Permitee Signature Date Issued y ignature Date <br />