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CITY OF ORONO * z 0 1 6 — 0 0 s� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2016 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1360 RAILROAD AVE <br /> PIN : 10-117-23-31-0007 <br /> LEGAL DESC : LTNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 1,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 07/19/16-THIS WAS ADDITIONAL WORK BEING ADDED TO PROJECT,SO CONTRACTOR FILLED OUT A NEW APPLICATION <br /> SHOWING ADDITIONAL WORK. <br /> ADDING:DUCTWORK ALTERATIONS, 1 KITCHEN EXHAUST,GAS LINES FOR DRYER&FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> COUNTRYSIDE HEATING COOLING TOTAL 50.50 <br /> 1960 COUNTY ROAD 90 Payment(s) <br /> SUITE 200 CREDIT CARD 9770 50.50 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-1600 <br /> Minnesota State License#: mech-MB680636 <br /> OWNER <br /> TWELVES, STEVE&SALLY <br /> 1360 RAILROAD AVE <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 goveming 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. �I����7 <br /> ��� ��/,� , <br /> � I�°� f ��..___ � � �j ��U�t��' � / � /�� <br /> Applicant Permitee Sign tur Date Issued B Signatu e Date <br />