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t � <br /> CITY OF ORONO * Z 0 1 4 — 0 fd 2 2 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 4,000.00 <br /> NOTE: REPLACE(1)PAYNE FURNACE-NATURAL GAS <br /> RELOCATION OF DUCTWORK FOR BASEMENT REMODEL <br /> APPLICANT MECHANICAL 50.00 <br /> MATRIX HOME IMPROV STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 10550 COLJNTY RD 81-SUITE 102 TOTAL 52.00 <br /> MAPLE GROVE,MN 55369- Payment(s) <br /> (763)478-8610 CHECK 2514 52.00 <br /> Minnesota State License#: mech-MB003671 <br /> OWNER <br /> O'KEEFE,JUSTIN&NICOLE <br /> 1453 PARK DRIVE <br /> MOiJND,MN 55364- <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuil and void if conswction 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 ti for due cause. <br /> / � � �. � ?.p �� <br /> ,�p�lic Permitee Signature ate Is d By Signature Date <br />