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CITY OFORONO * 201S - 00722 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2703 WALTERS PORT LA <br /> PIN 21-117-23-23-0042 <br /> LEGAL DESC WALTERS PORT <br /> LOT 001 BLOCK 003 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE COOLING SYSTEMS <br /> VALUATION $ 2,900.00 <br /> NOTE: I CARRIER COOLING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO <br /> STATE SURCHARGE MECH(VALUATION) 1.45 <br /> MAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 53.45 <br /> COON RAPIDS,MN 55433 Payment(s) <br /> (763)757-6202 CHECK 19431 53.45 <br /> Minnesota State License#:mech-003503 <br /> OWNER <br /> REESE,MR.& MRS. WILLIAM <br /> 2703 WALTERS PORT LA <br /> EXCELSIOR,MN 55331- <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 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 /> revoked at any time for due cause. <br /> J-1 -� $ <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />