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CITY OF ORONO I I <br /> II I I I I I I I L. <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 0 9 1 6 1 <br /> DATE ISS7UE-D: 09/29/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 120,000.00 <br /> NOTE: ORONO ICE ARENA <br /> DAIKIN 20 TON MODULATING HEAT WITH S/S HEAT EXCHANGER <br /> INSULATE EXTERIOR DUCTWORK <br /> GAS PIPING TO EXISTING HOUSE LINE <br /> APPLICANT MECHANICAL 1,500.00 <br /> STATE SURCHARGE MECH(VALUATION) 60.00 <br /> MODERN HEATING&AC <br /> 2318 FIRST ST NE TOTAL 1,560.00 <br /> MINNEAPOLIS,MN 55418- Payment(s) <br /> (612)781-3358 CHECK 1087 1,560.00 <br /> OWNER <br /> 278,ORONO SCHOOL DIST NO. <br /> 795 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 /> xVO-44. v� i et 17 <br /> Applicant Permitee Signature Date Issue By Signature Date <br />