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, CITY OF ORONO * z 0 1 z - 0 1 a 1 4 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTGD ON 10/9/2012 <br /> ADDRESS : 4495 BAYSIDE RD <br /> PIN : 06-117-23-21-0004 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE <br /> VALUATION : $ 11,000.00 <br /> NOTE: 1 BRYANT NAT GAS FURNACE <br /> 1 E3RYANT 3.5 TON AC <br /> 1 KICHEN EXHAUST <br /> 3 E3ATH EXHAUST <br /> APPWCANT MECHANICAL 137.50 <br /> METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 5.50 <br /> 16980 WELCOME AVE SE <br /> PRIOR LAKE, MN 55372 MAIL-IN FEE 2.00 <br /> (952)447-8124 TOTAL 145.00 <br /> OWNER <br /> Preservation Properties LLC <br /> 145 RAILWAY ST W <br /> PO BOX 35 <br /> LORETTO, MN 55357-0035 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�ti�ork 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. "�his permit is for only thc work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 oY 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�ith the State[3uilding Code.This pennit may be <br /> revoked at any tim�for due cause. <br /> `�'�CJ�� `'�R l l A"�� l l <br /> Applicant Permitee Signature Date �� <br /> Issucd B 'ignature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED A VE. <br />