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, CITY OF ORONO * Z pJ 1 5 — 0 0 9 1 7 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 683 SANDSTONE CIR <br /> PIN : 33-118-23-11-0043 <br /> LEGAL DESC : STONEBAY <br /> : LOT 040 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,500.00 <br /> NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM,4 BATH EXHAUSTS,GAS LINES FOR:RANGE,DRYER&FIREPLACE <br /> APPLICANT MECHANICAL 93.75 <br /> STATE SURCHARGE MECH(VALUATION) 3.75 <br /> WESTAIR HEATING MAIL-IN FEE 2.00 <br /> 11184 RIVER ROAD NE <br /> HANOVER, MN 55341 TOTAL 99.50 <br /> (763)498-8071 Payment(s) <br /> Minnesota State License#: mech-MB003525 CHECK 19495 99.50 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON, MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 construc[ion 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 /> r �� <br /> c�; �.c{ ����- �� � �?�� �c� �� �� i�- <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />