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r � � <br /> CITY OF ORONO * Z 0 1 6 - 0 0 3 5 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 920 FOREST ARMS LA <br /> P IN : 07-117-23-12-0017 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMTT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,000.00 <br /> NOTE: (1)RUUD NATURAL GAS FURANCE AND AIR CONDITIONING UNIT <br /> APPLICAPIT MECHANICAL 100.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.00 <br /> RONS MECHAN[CAL, INC. MAIL-IN FEE 2.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE,MN 55379 TOTAL 106.00 <br /> �� Payment(s) <br /> CHECK 13090 106.00 <br /> OWNER <br /> MEAKINS,MR.&MRS. ROGER <br /> 920 FOREST ARMS LA <br /> MOLTND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,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 whe[her 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 /> `'✓l/�c—� ,�!' O V l l /1CJ <br /> Applicant Permitee ignature Date Iss ed Signature Dat <br />