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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - 8 0 5 9 6 <br /> DATE ISSUED: 07/01/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4496 NORTH SHORE DR <br /> PIN : 07-117-23-31-0008 <br /> LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 8,784.00 <br /> NOTE: (1)LENNOX A/C UNIT-4 TONS <br /> APPLICANT MECHANICAL 109.80 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 4.39 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 TOTAL 116.19 <br /> OWNER <br /> BYFUGLIEN,DUSTIN <br /> 4496 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 /> re at any time for due c use. <br /> A tcant Permitee re /Date / /� �/ r / / <br /> ssue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />