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, . - CITY OF ORONO * 2 0 1 2 - PJ 0 6 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4700 CREEKWOOD TR <br /> PIN : 30-118-23-33-0004 <br /> LEGAL DESC : PA[NTERS WOODS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,932.00 <br /> NOTE: (1)BRYANT COOLING SYSTEM= 186BNA-2.5 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> COUNTRYSIDE HEATING& COOLING <br /> 6511 HWY 12 STATE SURCHARGE MECH (VALUATION) 1.97 <br /> MAPLE PLAIN, MN 55359 TOTAL 51.97 <br /> (763)479-1600 <br /> OWNER <br /> ERB, TRACY&JEFF <br /> 4700 CREEKWOOD TR <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 specitications,applicable City approvals,and the <br /> State Quilding Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. AII 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 Ihe date of issuance,or if construction is <br /> suspendcd 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 /> requcsted onformance i[h the State Building Code.This permit may be <br /> revoked t y time fo d use. <br /> � � 1 � �� ��r�- -7�/7 �/1- <br /> Applicant Permitee Signature Date [ss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />