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CITY OF ORONO II 11 Ell <br /> * 20 1 2 - 00 5 8 7 * <br /> • <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 850 WILLOW DR N <br /> PIN : 27-118-23-33-0021 <br /> LEGAL DESC : WOLFS RUN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,100.00 <br /> NOTE: 1 CARRIER 4 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> RIVER CITY SHEET METAL INC. STATE SURCHARGE MECH(VALUATION) 1.55 <br /> 8290 MAIN ST.NE <br /> SUITE 39 MAIL-IN FEE 2.00 <br /> FRIDLEY,MN 55432 MISC FEE 0.00 <br /> (612)754-2199 TOTAL 53.55 <br /> OWNER <br /> CARLSON,THOMAS D <br /> 850 WILLOW DRIVE 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 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 timetifor tte cause. <br /> Applicant Permitee Signature Date Issued By Si:y ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. <br />