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CITY OF ORONO * z 0 1 4 - 0 1 2 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2014 <br /> � ° ORONO,MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 480 RUSSELL AVE <br /> PIN : 02-117-23-31-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.307 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 9,346.00 <br /> NOTE: 1 BRYANT HEATING& I BRYANT AC <br /> APPLICANT MECHANICAL 116.82 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 4.67 <br /> 130 PLYMOUTH AVENUE N. MAIL-IN FEE 2.00 <br /> MINNEAPOLIS,MN 55411- TOTAL 123.49 <br /> 612-8242656 Payment(s) <br /> CHECK 47422 123.49 <br /> OWNER <br /> CARPENTER,NICKY&JOSEPHINE <br /> 480 RUSSEL AVE <br /> WAYZATA, MN 55391-0659 <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 goveming this type of work <br /> shall be compied with whether or not specitied 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 /> �� �� <br /> �/"�c�-,� �C� ��J �! <br /> Appl►cant Perm�tee Stgnature Date Issue y Signature Date <br />