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CITY OF ORONO ERIN 11111111111E1110111111111 <br /> 111 <br /> * 20 1 2 - 00 8 22 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/21/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 8/21/2012 <br /> ADDRESS : 2040 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0036 <br /> LEGAL DESC : ORONO AMBAR <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 BRYANT 5 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 6511 HWY 12 TOTAL 52.00 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-1600 PAID WITH CC# 7332 <br /> OWNER <br /> Orono Housing&Redevelop Authority • <br /> 2750 KELLEY PKWY <br /> CRYSTAL BAY,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 does <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / -/ <br /> Applicant Permitee Signature Date Issued By Si ture /; D. e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO t:. <br />