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� ' • CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - PJ 0 S 1 4 * <br /> DATE ISSUED: 04/25/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1540 SIXTH AVE N <br /> PIN : 26-118-23-32-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1418 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,355.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX HEATING SYSTEM <br /> (1)LENNOX COOLING SYSTEM <br /> APPLICANT MECHANICAL 116.94 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 4.68 <br /> 1408 NORTHLAND DR-SUITE 310 1�1�IL-IN FEE 2.00 <br /> MENDOTA HEIGHTS,MN 55120- TOTAL 123.62 <br /> (952)881-9000 Payment(s) <br /> Minnesota State License#:mech-MB004143 CREDIT CARD 1741 123.62 <br /> OWNER <br /> SCHLOBOHM,ARTHUR&MOLLY <br /> 1540 SIXTH AVE N <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 pern►it 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 acid become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C /�.5 /� <br /> Applicant Permitee Signature Date Issued y S gnature Date <br />