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CITY OF ORONO 1 1 I �I I 8� I� I III I I I I�I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/05/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1050 COX FARM RD <br /> PIN : 27-118-23-32-0017 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX HEATING SYSTEM <br /> (1)LENNOX 4 TON A/C <br /> APPLICANT MECHANICAL 116.25 <br /> STATE SURCHARGE MECH(VALUATION) 4.65 <br /> LIBERTY COMFORT SYSTEMS TOTAL 120.90 <br /> 627 EAST RIVER ROAD <br /> Payment(s) <br /> ANOKA,MN 55303 CHECK 22704 120.90 <br /> (763)422-8760 <br /> OWNER <br /> ZONER,ERIC&DIANN <br /> 1050 COX FARM RD <br /> LONG LAKE,MN 55356 <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 due cause. <br /> 3 . -1 .- -- . , h-J5 <br /> Applicant Pertn'i Date Issued By Si ture Date <br /> ffffff � �J <br />