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� CITY OF ORONO PERMIT NO.: 20��-00003 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: OUO3/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1980 SIXTH AVE N <br /> PIN : 27-118-23-42-0004 <br /> LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 - <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,200.00 <br /> NOTE: HEATING SYSTEM <br /> (1)CARRIER,MODEL#58MXB040,NATURAL GAS-2"PVC.40,000 INPUT,38,000 OUTPUT,600 CFM <br /> COOLING SYSTEM <br /> (1)CARRIER,MODEL 24 ACB318, 1-1/2 TONS <br /> (1)BATH EXHAUST-75 CFM <br /> APPLICANT MECHANICAL 115.00 <br /> DITTER INC. STATE SURCHARGE MECH(VALUATtON) 5.00 <br /> 820 TOWER DRIVE <br /> MEDINA, MN 55340 MAIL-IN FEE 2.00 <br /> (763)478-9558 TOTAL 122.00 <br /> PAID WITH CC# 3352 <br /> OWNER <br /> PIERPONT,JUDY&JIM <br /> 1980 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 1 SO 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 /> revoke t any time for due ause. <br /> /l O� (,�GL /D�l // <br /> Applicant Permitee Sig ature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />