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CITY OF ORONO * 20 1 S - 0 1 1 20 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2310 OLIVER HILL <br /> PIN : 34-118-23-33-0075 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 16,500.00 <br /> NOTE: (1)CARRIER FURNACE AND A/C <br /> (1)KITCHEN EXHAUST <br /> (4)BATH EXHAUST <br /> GASLINE FOR RANGE,FIREPLACE,FUTURE GARAGE <br /> APPLICANT MECHANICAL 206.25 <br /> TREATED AIR COMPANY STATE SURCHARGE MECH(VALUATION) 8.25 <br /> MAIL-IN FEE 2.00 <br /> 9954 166TH COURT <br /> BECKER,MN 55308- TOTAL 216.50 <br /> (763)262-0707 Payment(s) <br /> Minnesota State License#: HVAC-MB003789 CREDIT CARD 3100 216.50 <br /> OWNER <br /> ALMSTEAD,DAVE&CHALEEN <br /> 415 NO. 1ST ST <br /> #514 <br /> MINNEAPOLIS,MN 55401- <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 /> t- i oz--//-5 <br /> Applicant Permitee Signa Date Issue.i:y Signature Date <br />