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CITY OF ORONO * 2 0 1 2 - 0 0 6 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: 952)249-4616 . <br /> ADDRESS : 850 PARTENWOOD RD <br /> PIN : 08-117-23-21-0009 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 11,000.00 <br /> NOTE: (2)COOLING SYSTEMS-BRYANT <br /> (1) 126BNA042-3.5 TONS <br /> (1) 126BNA036-3.0 TONS <br /> APPLICANT MECHANICAL 137.50 <br /> COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 5.50 <br /> 6511 HWY 12 <br /> MAPLE PLAIN,MN 55359 TOTAL 143.00 <br /> (763)479-1600 <br /> OWNER <br /> HUMBOLDT,ROBERT&JOYCE <br /> 850 PARTENWOOD 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 dces <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 aze <br /> requested i onformance with the State Building Code.This permit may be <br /> revoked y time f r e ause. <br /> i � 7i � �2 // //.� <br /> Appiicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />