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t � <br /> CITY OF ORONO *2 p� 1 6 - 0 1 3 8 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1550 NORTH ARM DR <br /> PIN : 08-117-23-33-0074 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,900.00 <br /> NOTE: RUUD COOLING SYSTEM-MODEL RA1324 AJ1NA-2 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.95 <br /> CENTERPOINT ENERGY MAIL-IN FEE 2.00 <br /> 6161 GOLDEN VALLEY RD <br /> BUILDING A TOTAL 53.95 <br /> GOLDEN VALLEY, MN 55422- Payment(s) <br /> (763)512-2765 CHECK 20648 53.95 <br /> Minnesota State License#:mech-MB003503 <br /> OWNER <br /> PELTOLA,MARGARET <br /> 1550 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 docs <br /> not grant pennission 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 no[specified herein.This permit will <br /> expire and become null and void if construction au[horized 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. ' <br /> C � -P� /� � �a-1 � �,� <br /> Applicant Permitee Signature ate ssued B ignature Date <br />