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CITY OF ORONO * 2 0 1 7 - PJ PJ 6 5 4 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2017 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3490 BIRCH LA <br /> PIN : 08-117-23-43-0002 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENT[LATION <br /> VALUATION : $ 3,460.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SI"CE AT FINAL INSPECTION. <br /> ADD[TIONAL:VENT[LATION- 1 BATH EXHAUST,VENT DRYER,RE-VENT FURNACE,ALSO DISCONNECT&RECONNECT EXISTING <br /> A/C, <br /> GAS LINE:NEW MAIN GAS L[NE FROM NEW METER LOCATION TO EXISTING GAS LINE IN CRAWL SPACE,SEVERAL SUPPLIES& <br /> RETURNS <br /> APPLICANT MECHAMCAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.73 <br /> PRACTICAL SYSTEMS MAIL-IN FEE 2.00 <br /> 4342B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 53.73 <br /> (952)933-1868 Payment(s) <br /> Minnesota State License#:mech-MB003510 CREDIT CARD 0097 53.73 <br /> OWNER <br /> MISCHKE,TODD <br /> 3490 BIRCH LA <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 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 construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time afrer 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 /> f„ <br /> .' 11 _. <br /> _ ;� , <br /> � j��.� ; i r' �' / ;,� ��,(.�� � � '��.X.f`-X. <br /> � � <br /> Applicant Permitee Signature Date Issued By Signat re <br />