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• � CITY OF ORONO * 2 0 1 7 - 0 0 6 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 129 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0020 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: (1)DAIKIN A/C-3 TON <br /> APPLICANT MECHANICAL 50.00 <br /> AIR RITE HEATING AND A/C INC STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 6935 146TH STREET W#3 �IL-IN FEE 2.00 <br /> APPLE VALLEY,MN 55124- TOTAL 54.00 <br /> (952)683-1900 Payment(s) <br /> Minnesota State License#:mech-MB005390 CHECK 1056 54.00 <br /> OWNER <br /> SAHLSTROM,DAVID&JEAN <br /> 129 CHEVY CHASE DR <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 dces <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 specified hereia This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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. <br /> � La� � � � �� <br /> Applicant Permitee Signatur Date Issued ignature Date <br />