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CITY OF ORONO PERMIT NO.: 2011-00216 <br /> 2750 KELLEY PARKWAY <br /> ° ORONO, MN 55356- �ATE �ssu�n: 04/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> .4DDRESS : 3185 CASCO CIR <br /> PIN : 20-117-23-43-0024 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 034 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATIOI�I : $ 800.00 <br /> APPLICANT MECHAN[CAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 55.00 <br /> (952)933-1868 <br /> OWNER <br /> NORDSTRAND, BARRY <br /> 6425 BAYCLIFFE <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT ANU SWORN STATEMENT <br /> "1'hc���ork for which this permit is issucd shall bc perlormed according to <br /> lhc approvcd plans and specitications,applicablc City approvals,and the <br /> Statc f3uilding Code. 'I�his permit is for only the work described and does <br /> not grant permission for additional or related work which rcquires scparate <br /> perniits. All provisions of la�cs and ordinances governing this type of work <br /> shall be compied�vith whether or not specified herein."This permit will <br /> expire and become null and void if construction authorizcd is not <br /> � commenced�aithin 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 Buildine Code.This permit may be <br /> revo d at anv time for due o�use " - ' <br /> ___� , C <br /> � <br /> ' , � f . GJ <br /> \`��_ ,� � ;: <.. ,�� � J/ ��_.. ( �.( (� }'L 2.�c f'l % � �, <br /> �d G-�---�-- � � � � / � � / / / /� � <br /> Applicant Permitee S�enature �� -���' Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />