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CITY OF ORONO * 2 0 1 3 - 0 0 7 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3500 BAYSIDE RD <br /> PIN ; OS-117-23-13-0015 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 024 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,400.00 <br /> NO"['E: 1 BRYANT 3.5 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> KLEVE& JC MECHANICAL LLC STATE SURCHARGE MECH(VALUATION) 1.70 <br /> 13075 PIONEER TR <br /> EDEN PRAIRIE, MN 55347- MAIL-IN FEE 2.00 <br /> TOTAL 53.70 <br /> OWNER <br /> BANGERT, MR. & MRS. <br /> 3500 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMFNT <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 o1'work <br /> shall be compied with whether or not specified herein.'Chis 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 a[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 /> \�l�l�.�i � � / / / / <br /> Applicant Permitee Signature Date Issued y S� ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />