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CITY OF ORONO * 2 P1 1 Z — 0 fd 3 4 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 0�/OU2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : ll 80 ELMWOOD AVE <br /> PIN : 07-117-23-14-0033 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,000.00 <br /> NOTE: 1 AMANA NAT GAS FURNACE <br /> 1 AMANA 3 TON AC <br /> APPLICANT MECHANICAL 150.00 <br /> COMFORT MATTERS HEATING&COOLING STATE SURCHARGE MECH (VALUATION) 6.00 <br /> 10981 4TH ST. NE <br /> HANOVER,MN 55341- MAIL-IN FEE 2.00 <br /> (763)208-6471 TOTAL 158.00 <br /> OWNER <br /> WELSH,JENNIFER <br /> 1180 ELMWOOD AVE <br /> MOUND, MN 55364 <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 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 I 80 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 anv time for due cause. <br /> . \ <br /> `rn�'`�l �'r�- l l l l <br /> Applicant Permitee Signature Date Issued By Si ure ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB VE. <br />