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CITY OF ORONO * z 0 1 3 - 0 1 z 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADD'.7ESS : 1421 NORTH ARM DR <br /> Pl� : 07-117-23-44-0073 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LO"1' 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,500.00 <br /> NOTE: 2 1IEATING SYS'CEMS& I COOLING SYSTEM,VENTILA"I'ION <br /> APPLICANT MECHANICAL 143.75 <br /> STATE SURCHARGE MECH (VALUATION) 5.75 <br /> HEAT]NG &COOLING DESIGN INC <br /> 10830 ABLE STREET TOTAL 149.50 <br /> BLAINE, MN 55449- Payment(s) <br /> �612��28 7172 CHECK 3802 149.50 <br /> OWNER <br /> DJY Construction <br /> 3452 PILGR[M LN N <br /> PLYMOUTH, MN 55441- <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 goveming 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confq�rmance with the Sta[e Quilding Code.This permit may be <br /> revo� any[ e for due cause. <br /> �� ' �! / _ � <br /> % � � �� , �—� _- <br /> ' � �Z � �- . � �� �_ < C��`�'lCC/� l-� � <br /> ilppl ant ermitee Signature Date Issued By Signature Date <br />