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A � CITY OF ORONO PERMIT NO.: 2010-00500 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,200.00 <br /> NOTE: COOLING SYSTEM-(1)RUUD-2 TON UNIT <br /> APPLICANT MECHANICAL 50.00 <br /> LARSON PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 1.60 <br /> 3095 162ND LANE NW TOTAL 51.60 <br /> ANDOVER, MN 55304 <br /> (763)427-7680 <br /> OWNER <br /> MCCLAUDE, GLADYS <br /> 2100 SIXTH AVE N <br /> LONG LAKE, MN 55356- <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 authorized 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 /> r u ted in conformance with the State Building Code.This permit may be <br /> evoke a y f due cause.J -� <br /> / �, <br /> u � � � /� /� <br /> Applicant Permitee Signature ate I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />