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" ~ CITY OF ORONO * 2 0 1 4 - 0 1 3 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2085 SIXTH AVE N <br /> PIN : 27-118-23-31-0025 <br /> LEGAL DESC : EVERGREEN RIDGE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 14,000.00 <br /> NOTE: (2)CARRIER FURNAC�S <br /> (2)CARRIER A/C <br /> 1 <br /> APPLICANT MECHANICAL 175.00 <br /> STATE SURCHARGE MECH(VALUATION) 7.00 <br /> CENTER POINT ENERGY MINNEGASCO MA1L-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 184.00 <br /> COON RAPIDS, MN 55433 Payment(s) <br /> (763)757-6202 CHECK 19054 184.00 <br /> Minnesota State License#: mech-003503 <br /> OWNER <br /> PANKONIN, BRADLEY& MARCIA <br /> 2085 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work describcd and does <br /> no[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.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he 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 conYormance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � � ����%� �Z, � � �� <br /> Applicant Permitee Signature Date Issue y Signature Date <br />