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. CITY OF ORONO * Z 0 1 7 - 0 0 4 PJ 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2050 SHORELINE DR <br /> PIN : 10-117-23-34-0014 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,800.00 <br /> NOTE: REPLACE:AIR CONDITIONER(DALKIN) <br /> APPLICANT MECHANICAL 60.00 <br /> CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 2.40 <br /> 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 <br /> BUILDING A TOTAL 64.40 <br /> GOLDEN VALLEY, MN 55422- Payment(s) <br /> (763)512-2765 CHECK 20912 64.40 <br /> Minnesota State License#:mech-MB003503 <br /> OWNER <br /> BERTA KVAMME TRUST(TOM BROSTROM) <br /> 2050 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <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 I 80 days at any time afrer 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 /> �,��' 7 <br /> , <br /> I\ C �.� > ���_i �� �� ��� � ���j� / 7 <br /> � 2�'1�i �a �� c�r._ f <br /> Applicant Permitee Si ature Date Issued By Signature Date <br />