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^ CITY OF ORONO * 2 0 1 5 - 0 0 8 2 e * <br /> 2750 KELLEY PARKWAY �ATE �ss[1En: 06/29/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 996 NORTH ARM DR <br /> PIN : 07-117-23-11-0017 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 013 BLOCK 001 <br /> PERM[T TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 PAYNE HEATING SYSTEM <br /> APPL[CANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.00 <br /> DNA HEATING&COOLING TOTAL 52.00 <br /> 950 BAYVIEW DR <br /> EXCELSIOR, MN 55331- Payment(s) <br /> Minnesota State License#: mech-MB695427 CHECK 15027 52.00 <br /> OWIYER <br /> ANONSEN, TREVOR <br /> 996 NORTH ARM DR <br /> MOUND, 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. 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 conforma i State Building Code.This permit may be <br /> , . 1 <br /> revoked ny tit e. � '� ' <br /> - <br /> j ��' <br /> ; �l <br /> .� � i 1 �^ J . � ^ . <br /> �� <br /> �``-- �-` L � ��.117_'r:�l �" � 1�1 �� <br /> Permitee Si ature Date Issued By Signature Date <br />