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• <br /> tI 11 II I I II111111111110111 II <br /> CITY OF ORONO * 2017 - 01644 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3444 EASTLAKE ST <br /> PIN : 05-117-23-13-0043 <br /> LEGAL DESC : BAYSIDE BEACH <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 2,100.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)KITCHEN EXHAUST DUCT 260CFM <br /> MOVING SUPPIES AND RETURNS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.05 <br /> AMERICAN AIR SUPPLY,INC. MAIL-IN FEE 0.00 <br /> 11257 207TH AVE NW <br /> ELK RIVER,MN 55330 TOTAL 51.05 <br /> (612)282-7568 Payment(s) <br /> Minnesota State License#:mech-MB003497 CREDIT CARD 5546 5 .05 <br /> OWNER <br /> BRAUN,JEAN <br /> 14342 HARBOUR LANDINGS DR, UNIT <br /> FORT MEYERS,FL 33908- <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 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 /> 00n1___- ka ti .. / -- 7 lcF31 ) 2 <br /> App icant Permitee Signature Date Iss/ d By Signature Date <br />