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CITY OF ORONO �z 0 1 Z - 0 0 4 9 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4265 CHIPPEWA LA <br /> PIN : 31-118-23-42-0019 <br /> LEGAL DESC : UNPLATTED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 1,999.00 <br /> NOTE: 1 YORK 1.5 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> HIGH ROAD HEATING&COOLING CO STATE SURCHARGE MECH(VALUAT[ON) 1.00 <br /> 6650 WINDFIELD CIRCLE N <br /> ROCKFORD, MN 55373- MAIL-IN FEE 2.00 <br /> (763)477-3331 TOTAL 53.00 <br /> PA[D WITH CC# 6595 <br /> OWNER <br /> MCCAFFREY, THOMAS& KATHLEEN <br /> 4265 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <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 separa[e <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 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 at 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 /> �1 C.vY-L U' �/l'L l l <br /> / / <br /> Applicant ermitee Signature Date Issued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />