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CITY OF ORONO * 2 0 1 7 - 0 0 8 1 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1180 NORTH ARM DR <br /> PIN : 07-117-23-14-0067 <br /> LEGAL DESC : LOMA VALLEY <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,700.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX GAS FURNACE <br /> (1)LENNOX A/C UNIT-2.5 TONS <br /> APPLICANT MECHANICAL 96.25 <br /> GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.85 <br /> 5182 WEST BROADWAY MAIL-IN FEE 2.00 <br /> CRYSTAL,MN 55429- TOTAL 102.10 <br /> (612)535-2000 Payment(s) <br /> CREDIT CARD 7420 102.10 <br /> OWNER <br /> RIZZOLO,VICKY <br /> 1180 NORTH ARM DR <br /> MOLTND,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 Ciry approvals,and the <br /> State Building Code. This pecmit 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 Iaws and ordinances governing this rype 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 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 duereause. <br /> � � / /7//7 <br /> Applicant Permitee Signature Date Issued y ' ature Date <br />