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_�, CITY OF ORONO * 2 0 1 6 - 0 0 3 5 3 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1375 PARK DR <br /> PIN : 07-117-23-41-0079 <br /> LEGAL DESC : SIDWELL ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: ADDITIONAL: 1 COOLING SYSTEM(MITSUBISHI)&2 BATH EXAHUSTS <br /> APPLICANT MECHANICAL 112.50 <br /> AIR QUALITY SERVICES IN. STATE SURCHARGE MECH(VALUATION) 4.50 <br /> 7900 EXCELSIOR BLVD TOTAL 117.00 <br /> SUITE#750 Payment(s) <br /> HOPKINS,MN 55343- CHECK 22216 117.00 <br /> (952)401-3838 <br /> Minnesota State License#:mech-MB003119 <br /> OWNER <br /> GEHL,LARRY <br /> 1375 PARK DR <br /> MOLJND,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 dces <br /> not grant permission for additional or related work which requ'ves 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 requ'ved inspections are /�,�'� <br /> requested in conformance with the State Building Code.This permit may be � �� <br /> revoked at any time for due cause. � <br /> u-g��l� 1�� �� � `�� , � , / <br /> A i S ature Date Issued By Signature Date <br /> � <br />