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CITY OF ORONO <br /> * 2013 - 00163 * <br /> DA <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/11/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 160 OLD CRYSTAL BAY RD N <br /> PIN 33-118-23-43-0006 <br /> LEGAL DESC PETERMAN ADDN <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: NEW CARRIER HEATING SYSTEM <br /> MODEL.59TP5Al00EZ1-20 <br /> VALUATION OF PLUMBING 1800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> RIVER CITY SHEET METAL INC. STATE SURCHARGE PLBG(VALUATION) 0.90 <br /> 8290 MAIN ST.NE <br /> SUITE 39 MAIL-IN FEE 2.00 <br /> FRIDLEY,MN 55432 TOTAL 52.90 <br /> (612)754-2199 <br /> OWNER <br /> COE,LEANN J <br /> 160 OLD CRYSTAL BAY RD N <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 A�2 <br /> ow� <br /> Appli t Permitee Signatu Date Y 3111113 <br /> Iss B Signature Date <br /> SEPARATE PERMITS REQUIRED FO WORK OTHER THAN DESCRIBED ABOVE. <br />