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CITYOFORO O * Zp� 14 - 00473 * <br /> 2750 KELLEY PAR WAY DATE ISSUED: OS/20/2014 <br /> ORONO, MN 553 6- <br /> (952) 249-4600 FAX: (95 ) 249-4616 <br /> ADDRESS : 4245 BAYSIDE RD <br /> PIN : 06-117-23-13-0001 <br /> LEGAL DESC : UNPLATTED 06 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL � <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,300.00 ; <br /> NOTG: (2)BRYANT HEATING&COOI.ING SYSTEMS <br /> APPLICANT MECHANI AL 141.25 <br /> COUNTRYSIDE SOLUTIONS STATE SU CHARGE MECH (VALUATION) 5.65 <br /> 1960 COLJNTY ROAD 90 MAIL-IN F E 2.00 <br /> SUITE 200 TOTAL 148.90 <br /> MAPLE PLAIN,MN 55359 Paym�nt(s) <br /> (763)479-1600 CREDIT C RD 8071 148.90 <br /> OWNER <br /> WHITE, GREG &AV1S <br /> PO BOX 375 <br /> LONG LAKE, MN 55356-0375 <br /> ACREEMENT AND SWORIY STATEMENT <br /> I�he work for which this permit is issued shall be performcd 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 /> i�ot 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 construetion 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 aze <br /> requested in conformance with the State Building Code.This permi[may be <br /> revoked at any time for due cause. <br /> �C � Zv � �� / <br /> Applicant Permitee Si ate Issue y ignature Date <br /> I I <br />