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, . CITY OF ORONO * 2 0 1 4 - 0 0 0 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2610 MAPLERIDGE LA <br /> PIN : 21-117-23-21-0009 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1468 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAMCAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,883.00 <br /> NOTE: TRANE FURANCE AND A/C <br /> BATH EXHAUST <br /> GASLINE TO DRYER <br /> GASLINE TO FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 1.94 <br /> PRACTICAL SYSTEMS TOTAL 51.94 <br /> 4342B SHADY OAK RD Payment(s) <br /> HOPKINS, MN 55343 <br /> (952)933-1868 CHECK 7994 51.94 <br /> OWNER <br /> FESLER& JANE ZELETES, DANIEL <br /> 2610 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 plans and specifications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional ar 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 hereia This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended Yor a period of l80 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 Sta[e Building Code.This permit may be <br /> revok d at m r due cause. <br /> ,` � � � � (/L 7 � / Z� /� <br /> , <br /> Applicant Perm� Signature Date ssue y Signature Date <br />