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� CITY OF ORONO <br /> * Z 0 1 6 - 0 0 6 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/3U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2775 DEER RUN TR E <br /> PIN : 04-117-23-13-0015 <br /> LEGAL DESC : CRYSTAL BAY PRESERVE <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTiAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,200.00 <br /> NOTE: (1)AMANA A/C UNIT <br /> APPLICANT MECHANICAL 65.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.60 <br /> BLUE OX HEATING&AIR MAIL-IN FEE 2.00 <br /> 5720 INTERNATIONAL PKWY <br /> NEW HOPE,MN 55428- TOTAL 69.60 <br /> (612)238-9709 Payment(s) <br /> Minnesota State License#:mech-MB671957 CREDIT CARD 0100 69.60 <br /> O W IYER <br /> PRAUS,JEFFREY& SANDRA <br /> 2775 DEER RUN TR E <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <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 Iaws 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 /> � ,-� / J ,_ �- -- <br /> ;"� � �,,,�� � ,J �/ � �.�_ <br /> Applicant Permitee Signature Date Issued y 'gnature Date <br />