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CITY OF ORONO * z 0 1 7 - 0 0 6 z � * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3640 LYRIC AVE <br /> PIN : 17-117-23-34-0036 <br /> LEGAL DESC : NAVARRO <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 4,924.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. <br /> REPLACE: 1-HEATING(YORK)& 1-COOLING SYSTEM(YORK) <br /> APPLICANT MECHANICAL 61.55 <br /> STATE SURCHARGE MECH(VALUATION) 2.46 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. TOTAL 66.01 <br /> MINNEAPOLIS, MN 5541 1- <br /> 612-824-2656 Payment(s) <br /> CHECK 53979 66.01 <br /> OWNER <br /> S[MONSON,GERALD <br /> 3640 LYRIC AVE <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 Ciry 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 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 cause. n„„ <br /> f Uj' <br /> ��c�c,t �-� ��� ��-�4�/1 ����x��� � � 7 �� � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />