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CITY OF ORONO * 2 0 1 3 - 0 PJ 5 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 75 CRYSTAL CREEK RD <br /> PIN : 33-118-23-33-0003 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 1,800.00 <br /> NOTE: 1 CARRIF,R 2 TON AC. <br /> APPLICANT MECHANICAL 50.00 <br /> RIVER CITY SHEET METAL INC. STATE SURCHARGE MECH(VALUATION) 0.90 <br /> 8290 MAIN ST.NE <br /> SUITE 39 MAIL-IN FEE 2.00 <br /> FRIDLEY,MN 55432 TOTAL 52.90 <br /> (612)754-2199 <br /> OWNER <br /> LARSON, ERIC& PAMELA <br /> 75 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356- <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 separate <br /> permits. All provisions of laws and ordinanccs goveming[his 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �`y -- � �� z c� i3 � a � �3 <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />