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r �, CITY OF ORONO * 2 0 1 5 — 0 0 6 7 6 * <br /> 2'150 KELLEY PARKWAY DATE ISSUED: 05/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1300 LOMA LINDA AVE <br /> PIN : 07-117-23-41-0083 <br /> LEGAL DESC : VOLK JOHNSTON ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,600.00 <br /> NOTE: (1)LENNOX FURNACE <br /> (1)LENNOX A/C LTNIT <br /> APPLICANT MECHANICAL 107.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.30 <br /> GOLDEN VALLEY HEATING&AIR MpIL-IN FEE 2.00 <br /> 5182 WEST BROADWAY <br /> CRYSTAL,MN 55429- TOTAL 113.80 <br /> (612)535-2000 Payment(s) <br /> CREDIT CARD 7420 113.80 <br /> OWNER <br /> JASON HUESMANN, STEFANIE JOHNSON& <br /> 1300 LOMA LINDA AVE <br /> MOLJND,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. 'I'his permit is for only the work described and dces <br /> not grant permission for additiona(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 autt►orized is not <br /> commenced within 180 days of the date of issuance,or if consWction 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 confottnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C ' J ,2�?/,5 <br /> Applicant Permitee Signature Date Issu By Signature Date <br />