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CITY OF ORONO * Z 0 1 4 - 0 0 5 4 6 * <br /> � �A 2750 KELLEY PARKWAY <br /> DATE ISSUED: 06/02/2014 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 400 STUBBS BAY RD N <br /> PIN : 32-118-23-42-0001 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,800.00 <br /> NOTE: 1 RUUD NAT GAS FURNACE <br /> 1 RUUD 2 TON AC <br /> APPLICANT MECHANICAL 110.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.40 <br /> CENTER POINT ENERGY MINNEGASCO MpIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 116.40 <br /> COON RAPIDS,MN 55433 Payment(s) <br /> (763)757-6202 CHECK 18473 116.40 <br /> OWNER <br /> STUBBS,RICHARD <br /> 400 STUBBS BAY RD 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. T'his 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 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 /> 7'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time for due cause. <br /> 1" Yl!�[�t/L.� 1��� l l <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />