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t � CITY OF ORONO * 2 0 1 6 - 0 1 0 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3333 SHORELINE DR <br /> PIN : 20-117-23-11-0024 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 65,000.00 <br /> NOTE: 1 COOLING SYSTEM(KYSOR) <br /> APPLICANT MECHANICAL 812.50 <br /> MARKET MECHANICAL STATE SURCHARGE MECH(VALUATION) 32.50 <br /> 8701 WYOMING AVE N TOTAL 845.00 <br /> BROOKLYN PARK,MN 55445- Payment(s) <br /> (763)315-4000 CHECK 57949 845.00 <br /> OWNER <br /> Lunds Food Holding Inc. <br /> 4100 W SOTH STREET#2100 <br /> EDINA,MN 55424 <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 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 suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 n„ <br /> revoked at any time for due cause. .� �(� <br /> . ��C.'7���L �/ ��' 1�!o <br /> Applicant Permitee Signature at Issued By ignature Date <br />