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CITY OF ORONO * Z 0 1 2 - 0 PJ 6 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2012 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 690 BROWN RD N <br /> PIN : 34-118-23-12-0007 <br /> LEGAL DESC : UNPLATTED 34 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 3,000.00 <br /> NOTE: COOLING SYSTEM-CARRIER-MODEL 24ACC660-5 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.50 <br /> 4342 B SHADY OAK RD TOTAL 51.50 <br /> HOPKINS, MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> LARSON, ERIC&ANDREA <br /> 690 BROWN RD 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 specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission tor additional or related work which requires separate <br /> pennits. 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> �quested in conformance with the State Building Code.This permit may be <br /> revp ed3t any time for due cause. <br /> �,-, � , <br /> v,�- �/ �C�/ / �z. <br /> Applr nt Per itee Signature Date ��� � � ��� �� <br /> Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />