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, <br /> • CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 7 1 1 * <br /> DATE ISSUED: 06/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1955 SHORELINE DR <br /> PIIv : 10-117-23-42-0024 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 2,107.00 <br /> NOTE: ADDITIONAL COOLING SYSTEM(BRYANT) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.05 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COLJNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 53.05 <br /> (763)42&3677 Payment(s) <br /> CREDIT CARD 4334 53.05 <br /> OWNER <br /> KIRKLAND,DAVID <br /> 1955 SHORELINE DR <br /> WAYZATA,MN 55391- <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 Ciry approvals,and the <br /> State Building Code. This petmit is for only the work described and dces <br /> not grant permission for additional or related work w6ich requires separate <br /> permits. Ail provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit wil( <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 1 SO 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 h�„ <br /> revoked at any time for due cause. ����J <br /> ( � � :� ��`�� � � Zc� �(o <br /> Applicant Permitee Signature Date Issued By Signature Date <br />