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f ' CITY OF ORONO * z 0 1 z - 0 � 7 � 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2905 SIXTH AVE N <br /> PIN : 28-118-23-31-0006 <br /> LEGAL DESC : GARDEN GROVE <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> NOTG: (4)REGISTERS,(2)DUCTS AND(4)JOINTS <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> ELLINGSON,JORGEN& YUMIKO STATE SURCHARGE MECH(<$500) 5.00 <br /> 2905 StXTH AVE N TOTAL 20.00 <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> ELLINGSON,JORGEN &YUMIKO <br /> 2905 S[XTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMEIYT AND SWORIY STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 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 /> revoked at any time for due cause. / - <br /> � � �,.' L C� ' � l�� (.� �'L___ � ���� �� <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />