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� <br /> CITY OF ORONO * z 0 1 6 - 0 0 8 1 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2016 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 260 HOLLANDER RD <br /> PI1V : 25-118-23-43-0013 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 5,525.00 <br /> NOTE: REPLACE:2 COOLING SYSTEMS(YORK) <br /> APPLICANT MECHANICAL 69.06 <br /> STATE SURCHARGE MECH(VALUATION) 2.76 <br /> HIGH ROAD HEATING&COOLING CO M,e,IL-IN FEE 2.00 <br /> 6650 WINDFIELD CIRCLE N <br /> ROCKFORD,MN 55373- TOTAL 73.82 <br /> (763)477-3331 Payment(s) <br /> Minnesota State License#:mech-MB04749 CREDIT CARD 5283 73.82 <br /> OWNER <br /> PADDON,JAMES <br /> 260 HOLLANDER RD <br /> WAYZATA,MN 55391- <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 Yor 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 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. I � <br /> '���l t�C�� �, � ��� `C k- A �, �_�\.`� ��-' � � l � �� l � �i <br /> Applicant Permitee Signature 'Date Issued By Sign ture Date <br />