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� _ CITY OF ORONO * 2 P1 1 6 - 0 0 4 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3925 NORTH SHORE DR <br /> PIN : 17-117-23-22-0007 <br /> LEGAL DESC : LJNPLATTED 17 I 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,300.00 <br /> NOTE: (1) LENNOX FURNACE AND A/C <br /> APPLICANT MECHANICAL 91.25 <br /> STATE SURCHARGE MECH(VALUATION) 3.65 <br /> GOLDEN VALLEY HEATING&AIR MAIL-IN FEE 2..00 <br /> 5182 WEST BROADWAY <br /> CRYSTAL,MN 55429- TOTAL 96.90 <br /> (612)535-2000 Payment(s) <br /> CREDIT CARD 7420 96.90 <br /> OWNER <br /> CHRISTINE,LYNN <br /> 3925 NORTH SHORE DR <br /> MOLJND,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 does <br /> not grant permission 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 not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> a��L ��l `f i��/�o <br /> Applicant Permitee Signature Date Issued y ignature Date <br />