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,_� � ��� CITY OF ORONO * z 0 1 4 - 0 PJ 9 9 3 * <br /> O�.`� 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2014 <br /> ��� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS � 50 KELLBY PKWY <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : CITY OF ORONO ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> NOTE: (l2)CARRIER HEATING UNITS <br /> (11)CARRIER COOLING UNITS <br /> y ��'_ f�o( �c� �E-��t a� Z-736 �iel(�� /�lLw� �` C''��-{ y f-/�C:1 Z �SG� <br /> l�c� i��y pr«,� <br /> APPLICANT STATE SURCHARGE MECH (VALUATION) 111.35 <br /> TOTAL 111.35 <br /> MINNESOTA PLUMBING INC. Payment(s) <br /> 520 RIVER STREET S CHECK l 11.35 <br /> DELANO,MN 55328- <br /> (763)972-9181 <br /> Minnesota State License#: mech-MB003326 <br /> OWNER <br /> City of Orono <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY <br /> P.O.BOX 66 <br /> CRYSTAL BAY, MN 55323- <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[he date of issuance,or if construction is , <br /> suspended for a period of 180 days at any time afrer 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 Issue Signature Date <br />