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» a CITY OF ORONO * z 0 1 s — 0 0 9 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3635 LYRIC AVE <br /> PIN : 1'7-117-23-34-0044 <br /> LEGAL DESC : NAVARRO <br /> : LOT 008 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,000.00 - <br /> NOTE: REAPLCE A/C <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> TOTAL COMFORT MAIL-IN FEE 2.00 <br /> 4000 WINNETKA AVE N <br /> SUITE 10 TOTAL 53.50 <br /> NEW HOPE,MN 55427- Payment(s) <br /> �� CHECK 3774 53.50 <br /> OWNER <br /> ' RODRIQUEZ,GABRIEL J <br /> 3635 LYRIC AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buiiding Code. This permit is for only the work described and dces <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 wnstruction 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 /> , t 7 ��7�/C� <br /> Applicant Permitee Signature Date Issued B gnature Date <br />