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CITY OF ORONO * Z 0 1 5 - 0 0 2 5 6 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2605 MAPLERIDGE LA <br /> PIN : 21-117-23-21-0005 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,700.00 <br /> NOTE: MASTER BATH REMODEL-MOVE EXISTING SUPPLIES AND ADD DUCTS AS NEEDED. <br /> MOVE EXISTING AIR CONDITIONER AND RE-INSTALL. <br /> (2)BATH EXHAUST <br /> APPLICANT MECHANICAL 71.25 <br /> STATE SURCHARGE MECH(VALUATION) 2.85 <br /> RAY N.WELTER HEATING CO MAIL-IN FEE 2.00 <br /> 4637 CHICAGO AVE <br /> MINNEAPOLIS,MN 55407- TOTAL 76.10 <br /> (612)825-6867 Payment(s) <br /> CHECK 029361 76.10 <br /> OWNER <br /> PAULSON,ERIC <br /> 2605 MAPLERIDGE LA <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved p(ans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> , oLl �l /J <br /> Applicant Permitee Signature Date Issue By Signature Date <br />