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� � ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 1 5 5 * <br /> DATE ISSUED: 09/2U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1580 SIXTH AVE N <br /> PIN : 26-118-23-32-0006 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1418 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 2,906.00 <br /> NOTE: REPLACE:A/C UNIT(LENNOX) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.45 <br /> GENZ-RYAN PLUMBING&HEAT TOTAL 51.45 <br /> 2200 HIGHWAY 13 Payment(s) <br /> BURNSVILLE,MN 55337 CHECK 157157 51.45 <br /> (952)767-1000 <br /> Minnesota State License#:mech-MB003541 <br /> OWNER <br /> HILL,DARIN L <br /> 1580 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 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 construction authorized is not <br /> commenced within 1 SO 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., t�/n <br /> �y�i <br /> ,r � , � � �,/ � Zl� �� <br /> Applicant Permitee Signa re Date Issued By Signature Date <br />