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�� . CITY OF ORONO * 2 0 1 2 - 0 1 0 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2012 <br /> ORONO, MN 55356- <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 : HEATING SYSTEMS <br /> VALUATION : $ 2,400.00 <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.20 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 MAIL-IN FEE , 0.00 <br /> (952)933-1868 MISC FEE 0.00 <br /> TOTAL 51.20 <br /> OWNER <br /> Orono Woodlands <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 perfortned 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 sepazate <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 wi[hin 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 Building Code.This permit may be <br /> rev�any t' e for due cause. <br /> � l � fU �/7 //Z <br /> Applicant Permitee Signature Date Is ued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />