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CITY OF ORONO * Z 0 1 5 - 0 1 0 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/1712015 <br /> ORONO, MN 55356- <br /> , (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 209 <br /> pIN : 33-118-23-12-0057 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: (1)LENNOX FURNACE AND(1)LENNOX A/C UNIT <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.00 <br /> B&D PLUMBING&HEATING [NC. TOTAL 78.00 <br /> 4145 MACKENZIE CT NE Payment(s) <br /> ST MICHAEL,MN 55376- CHECK 551012 78.00 <br /> (763)497-2290 <br /> OWNER <br /> HARMS, DANA&MARY <br /> 2670 KELLEY PKWY 209 <br /> UNIT#209 <br /> LONG LAKE, 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 requices 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 au[horized 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 /> ' �'� ,�'� _"�7/�� p J�U::�'...� � g � , I 5 <br /> � � ( <br /> Applicant ermitee Signature Date Issued By Signature Date <br />