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CITY OF ORONO 1 I 1 I�I I i 11 I I I 1 I I i 7111111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2509 KELLY AVE <br /> PIN : 20-117-23-12-0037 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1428 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATION : $ 400.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BATH EXHAUST-DUCT WORK REPAIRS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.20 <br /> BINDER HEATING&A/C,INC. MAIL-IN FEE 2.00 <br /> 222 HARDMAN AVE.N. <br /> MN 55075- <br /> TOTAL 52.20 <br /> (651)457-8781 Payment(s) <br /> CREDIT CARD 0362 52.20 <br /> OWNER <br /> NADLER,CHARLES&CANDICE <br /> 2509 KELLY AVE <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 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 /> (-1//ticiltd r� 4 1 , /7 <br /> Applicant Permitee Signature Date Issued By ature Date <br />