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- ' CITY OF ORONO * 2 0 1 3 — 0 1 2 1 1 * <br /> 2750 KELLEY PARKWAY nATE ISSUEn: 11/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 l65 BROWN RD S <br /> PIN : 10-117-23-24-0020 <br /> LEGAL DESC : UNPLATTED 10 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,000.00 <br /> NOTE: (1)FUJITSU SPLIT COOLING SYSTEM <br /> (1)BATH�XHAUST- 150 CFM <br /> APPL[CANT MECHANICAL 50.00 <br /> NIELSEN, ERIC STATE SURCHARGE MECH(VALUATION) 1.50 <br /> P.O. BOX 54 <br /> CRYSTAL BAY, MN 55323- TOTAL 51.50 <br /> PAID WITH CC# O134 <br /> OWNER <br /> NIELSEN, ERIC <br /> P.O. BOX 54 <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr���hich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable CiCy approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission tbr 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.'I'his permit will <br /> expire and become null voi if construction authorized is not <br /> commenced w 1 days o the date of issuance,or if construction is <br /> suspended r a pe od of 18 days at any time after work has commenced. <br /> The app cant is ponsib for assuring all required inspections are <br /> reques ed in c orma with the State Building Code.This permit may be <br /> revok at a r�m-etetise_ <br /> ( � �3 � 1� � ,� �i� i3 ��3 <br /> Applicant Permitee Signature Date �� <br /> Issu y Signature Date <br /> SF,PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />