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CITY OF ORONO PERMIT NO.: 2011-00513 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISSUED: 06/23/2011 <br /> 01 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 50 WEAR LA <br /> PIN ' : 04-117-23-21-0006 <br /> LEGAL DESC : ROLLING MEADOWS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,097.00 <br /> NOTE: 1 BRYANT 3 TON AC <br /> APPLICANT MECHANICAL 51.21 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 2.05 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> 612-824-2656 TOTAL 55.26 <br /> OWNER <br /> HILL,DAVID&JEANETTE <br /> 50 WEAR LA <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 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 /> / / / <br /> Applicant etmttee Signature Date 'Issue. ty Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABI' E. <br />