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� ' CITY OF ORONO * 2 0 1 6 — 0 PJ 8 5 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1200 PHILLIPS DR <br /> PIN : 27-118-23-32-0009 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,210.00 <br /> NOTE: REPLACE A/C <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.60 <br /> NORTHERN HEATING&AIR COND INC. MpIL-IN FEE 2.00 <br /> 9431 ALPINE DR <br /> RAMSEY,MN 55303 TOTAL 53.60 <br /> (763)323-7597 Payment(s) <br /> CHECK 24331 53.60 <br /> OWNER <br /> DAU,EDWARD&MICHELLE <br /> 1200 PHILLIPS DR <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 goveming this type of work <br /> shall be compied with whether or not specified herein."fhis 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 i►i conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> ! r �`� � /`� / / <br /> Applicant Permitee Signature Date Iss d B gnature Date <br />