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, � <br /> CITY OF ORONO * 2 0 1 4 — 0 0 4 1 s * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2690 CAROLINE AVE <br /> PIN : 20-117-23-24-0033 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PF,RMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : F"''''rrc "-ro-c',i�- MULTIPLE�Il1�G}� <br /> VALUATION : $ 25,100.00 <br /> NOTE: (3)IIGATINU SYS"I'EMS <br /> (1)A/C -4 TON <br /> (1)KITCHF,N FXHAUS"I' <br /> �6>sA�-�i �;xt��us�r <br /> GASLINES FOR BOILER,DRYER, RANGE,(2)��IREVLACES, BBQ,AND UNI'T HEATER <br /> APPLICANT MECI��ANICAL 3]3.75 <br /> STATE SURCHARGE MECH (VALUATION) 12.55 <br /> HEA'I'ING& COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- MISC FEE 0.00 <br /> (763)428-3677 TOTAI_ 328.30 <br /> Payment(s) <br /> CREDIT CARD 4334 328.30 <br /> OWNER <br /> LIBERMAN, ZIV& "I'AL <br /> 1 l45 SETTLERS ROAD <br /> MEDINA, MN 55340- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Uiis permit is issued shall be performed according to <br /> Ihe 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 pennission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances govemine this type of work <br /> shall be compied���ith whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is no[ <br /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code 1�his permit may be <br /> revoked at any time for due cause. <br /> � � � v`�'-' �i� <br /> Applicanl Permitee Si=na e Iss By Signature Datc <br />