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CITY OF ORONO * z 0 1 z — 0 0 5 z 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 11,100.00 <br /> NOTE: 1 COLLING SYSTEM(BRYANT-ATTIC HEAT PUMP) <br /> APPLICANT MECHANICAL 138J5 <br /> COUNTRYS[DE HEATING &COOLING STATE SURCHARGE MECH (VALUATION) 5.55 <br /> 6511 HWY 12 TOTAL 144.30 <br /> MAPLE PLA[N, MN 55359 <br /> (763)479-1600 <br /> OWNER <br /> LISLE, STEVEB& ANGELA <br /> 3460 BIRCH LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not gran[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 permi[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 applican[is responsible for assuring all required inspections are <br /> requeste conformance with the State Building Code.This permit may be <br /> revoke a any time or u ause. ( / /,�� <br /> �...._ � l �l a, �1�--��—�--� �-�-v��c--r l i� ((�-�/ <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />