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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 3 5 7 * <br /> DATE ISSUED: 03/30/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3675 NORTH SHORE DR <br /> PIN : 08-117-23-34-0052 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,900.00 <br /> NOT'E: (1)MITSUBISHI A/C iJNIT- 1-1/2 TON <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.95 <br /> CENTER POINT ENERGY MINNEGASCO NIAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 53.95 <br /> COON RAPIDS,MN 55433 Payment(s) <br /> (763)757-6202 CHECK 19277 53.95 <br /> Minnesota State License#:mech-003503 <br /> OWNER <br /> PLACHECKI ET AL,FRANK&MELISSA <br /> 3675 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be perfoRned 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. All provisions of Iaws 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 /> 'Che 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 /> � /�/ � <br /> Applicant Permitee Signature Date Issued Signature Date <br />