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' � ' CITY OF ORONO <br /> �� � 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 1 3 7 * <br /> DATE ISSUED: 02/28/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3805 NORTH SHORE DR <br /> PIN : 17-117-23-21-0029 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,825.00 <br /> NOTE: 1 CARRIER NAT GAS FURNACE <br /> 1 CARRIER 3.5 TON AC <br /> 1 KITCHEN EXHAUST <br /> 4 BATH EXHAUST <br /> APPLICANT MECHANICAL 122.81 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 4.91 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 TOTAL 129.72 <br /> PAID WITH CC# 1207 <br /> OWNER <br /> RACHEL,DON <br /> 3805 NORTH SHORE DR <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <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 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 /> �_/"-^„'„ �/1`� / / ���'j�/(.,�—a+ / / <br /> Applicant Permitee Signature Date Issued By � nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. <br />