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� w <br /> � CITY OF ORONO * z 0 1 3 - 0 1 0 7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/1 U2013 <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 /> VALUATION : $ 4,000.00 <br /> NOTE: INSTALL NEW A/C AND EXTEND THE DUCTWORK <br /> APPLICANT MECHANICAL 50.00 <br /> BEN SCHERER PLUMBING&HVAC INC. STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 4520 85TH STREET SE <br /> DELANO,MN 55328- TOTAL 52.00 <br /> (763)972-8137 PAID WITH CC# 4343 <br /> OWNER <br /> ELLINGSON,JORGEN&YUMIKO <br /> 2905 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 Ciry 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 goveming 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 180 days at any time after work has commenced. <br /> The app(icant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke any time for due cause. <br /> /O/ I/ l / /al // � /_3 <br /> Appli ant Permitee ignature Date ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />