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' CITYOFORONO * 20 14 - 00993 * <br /> � 2750 KELLEY PARKWAY DATE IS�UED: 09/04/2014 <br /> ORONO, MN 55356- <br /> Z (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS � 50 KELLEY PKWY <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : CITY OF ORONO ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> NOTE: (12)CARRIER HF.,A"I'ING UNITS <br /> (1 1)CARRIER COOLING UNITS <br /> -' ��,� l�o( �c�_� ��c���fi cx t" Z �7 3c �F l(E�� /�/� ���Y �` �''�f� y �/c�C�l Z "I ->� <br /> %��� / /�,�� f r(... �� <br /> APPLICANT STATE SURCHARGE MECH (VALUATION) ll 1.35 <br /> MINNESOTA PLUMBING INC. TOTAL 111.35 <br /> 520 RIVER STREET S Payment(s) <br /> DELANO, MN 55328- CHECK 111.35 <br /> (763)972-9181 <br /> Minnesota State License#: mech-MB003326 <br /> OWNF.R <br /> City of Orono <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY <br /> P.O. BOX 66 <br /> CRYSTAL BAY, MN 55323- <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 governing this type of work <br /> shall be compied with whether or not specitied herein."Chis 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 F3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / �/ <br /> Applicant Permitee Signature Date Issue Signature Date <br />