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CITY OF ORONO * 2 0 1 4 - 0 0 5 6 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2014 <br /> ' " ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2595 LYDIARD CIR <br /> PIN : 20-117-23-11-0004 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 10,000.00 <br /> NOTE: (2)RHEEM FURNACF,AND A/C <br /> APPLICANT MECHANICAL 125.00 <br /> STATE SURCHARGE MECH(VALUATION) 5.00 <br /> BENDTSEN MECHANICAL INC <br /> 8775 FAIRHILL LANE TOTAL 130.00 <br /> MONTICELLO, MN 55362- Payment(s) <br /> Minnesota State License#: mech-3054 CREDIT CARD 5443 130.00 <br /> OWNER <br /> LEUPKE, JOHN <br /> 2595 LYDIARD <br /> EXCELSIOR, MN 553�I- <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 U�e work described and does <br /> not grant pennission 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.1'his permit will <br /> expire and become null and void if construction authorized is not <br /> commeneed within 180 days of the date of issuance,or if construction is <br /> suspended for a period oY 180 days at any[ime af[er work has commenced. <br /> I�he applicant is responsible for assuring all required inspec[ions are <br /> requested in confbrmance with the State Quilding Code.This permit may be <br /> revoked at any time for due cause. � <br /> (,�,_�.- /� <br /> i ✓ <br /> pli� nt Permite t ature Date Issue y Signature Date <br />