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. CITY OF ORONO * Z 0 1 3 - 0 0 P1 5 1 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OU22/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0003 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,500.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 1 LENNOX 4 TON AC <br /> ( <br /> APPLICANT MECHANICAL 131.25 <br /> DITTER INC. STATE SURCHARGE MECH(VALUATION) 5.25 <br /> 820 TOWER DRIVE <br /> MEDINA,MN 55340 MAIL-IN FEE 1.50 <br /> (763)478-9558 TOTAL 138.00 <br /> OWNER <br /> HENDRICKSON,JOHN <br /> 25 LUCE LINE WDGE <br /> MAPLE PLAIN,MN 55359- <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 sepazate <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 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 cauge. <br /> ulss�-« � - � � l l <br /> Applicant Permitee Signature � Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />