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J " � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 0 0 9 0 3 * <br /> DATE ISSU D: 07/20/2015 <br /> ORONO,MN 55356- <br /> . 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 210 <br /> PIN ' : 33-118-23-12-0058 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> I : LOT 000 BLOCK 000 <br /> PERMIT TYPE ' : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYP� : HEATING SYSTEMS <br /> VALUATION � : $ 2,786.00 <br /> NOTE: (1)LENNOX HEA G SYSTEM-66,000 INPUT BT[J'S-62,000 OUTPUT BTU'S <br /> AP LICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.40 <br /> MARSH HEATING&AIR COND MAIL-IN FEE 2.00 <br /> 6248 LAKELAND AVE N <br /> MINNEAPOLIS,MN 554 8- TOTAL 53.40 <br /> (763)536-0667 Payment(s) <br /> Minnesota State License# mech-MB003532 CHECK 85976 53.40 <br /> �WNER <br /> LAGUE,JEROME&JOY <br /> 2670 KELLEY PKWY 21� <br /> LJNIT#210 <br /> LONG LAKE,MN 55356, <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit s issued shall be performed according to <br /> the approved plans and specific tions,applicable City approvals,and the <br /> State Building Code. This pe it is for only the work described and dces <br /> not grant permission for additio al or related work which requires separate <br /> permits. All provisions of laws d ordinances goveming this type of work <br /> shall be compied with whether r not specified herein.This permit will <br /> expire and become null and voi 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' suring all required inspections are <br /> requested in conformance with e State Building Code.1'his permit may be <br /> revoked at any time for due cau e. <br /> . � i.Zl>� /.S <br /> Applicant Permitee Signature Date Issued Signature ate <br />