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CITY OF ORONO ('' I L I' !I i' <br /> * 20 1 0 1 256 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4017 NORTH SHORE DR <br /> PIN : 07-117-23-44-0005 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 1,929.00 <br /> NOTE: 1 BRYANT AC <br /> APPLICANT MECHANICAL 50.00 <br /> UPTOWN HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 0.96 <br /> 3110 WASHINGTON AVE.N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> (612)827-4674 TOTAL 52.96 <br /> OWNER <br /> BRYAN,KATHLEEN <br /> 4017 NORTH SHORE 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 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 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 du(cause. <br /> ice - i i410 <br /> % f i <br /> Applicant Permitee Signature Date Issued ty S J atureate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />