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CITY OF ORONO * z 0 1 4 - 0 1 3 0 5 * <br /> +. 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2450 SIXTH AVE N <br /> PIN : 28-118-23-41-0003 <br /> LEGAL DESC : WILLOW RUN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> VALUATION : $ 1,495.00 <br /> NOTE: (1)MOL[NF..FIIRNACE-NA"1'URAL GAS-3" PLUG <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.75 <br /> ABSOLUTE HEATING& COOL, INC. <br /> 1085 BROWN RD. S TOTAL 50.75 <br /> WAYZATA, MN 55391- 1'ayment(s) <br /> (952)473-5808 CHECK 50.75 <br /> OWNER <br /> "rAYLOR, JEFFREY <br /> 2450 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Chc work for which this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvais,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission 1'or additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[specified herein.This perniit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 1 AO 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 /> "I�he applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the Statc Building Code.This permit may be <br /> rcvokcd at any time for cause. <br /> -�-�� <br /> ' �� �� ���� ��Yu�-- � � <br /> Applicant Permitee Signature Date ]ssued y Signature Date <br />