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CITY OF ORONO I [ i 1i 1 I <br /> * 2 0 1 S - 00 6 7 1 * <br /> 2750 KELLEY PARKWAY DATE UED: 06/02/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 140,000.00 <br /> NOTE: COMMERCIAL-PER SCHEDULE ON PLAN:4 UNITS,GAS LINES,DUCT WORK,&GAS <br /> APPLICANT MECHANICAL 1,750.00 <br /> STATE SURCHARGE MECH(VALUATION) 70.00 <br /> MODERN HEATING&AC MAIL-IN FEE 2.00 <br /> 2318 FIRST ST NE <br /> MINNEAPOLIS,MN 55418- TOTAL 1,822.00 <br /> (612)781-3358 Payment(s) <br /> CHECK 52877 1,822.00 <br /> OWNER <br /> Jem Technical <br /> 450 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 wort <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 /> 7"-"") <br /> requested in conformance with the State Building Code.This permit may be /Lig <br /> revoked at any time for due cause. <br /> 6'7,27/ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />