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� , ,, , CITY OF ORONO * 2 0 1 4 - 0 1 0 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 530 STUBBS BAY RD N <br /> PIN : 32-118-23-13-0002 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 15,254.00 <br /> NOTE: 1 COOLING SYSTEM MITSUBISHI,MXZ 5B42NA <br /> APPLICANT MECHANICAL 190.68 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 7.63 <br /> 7588 WASHINGTON AVE S MAIL-IN FEE 2.00 <br /> EDEN PRAIRIE,MN 55346- TOTAL 200.31 <br /> (952)835-7777 Payment(s) <br /> CHECK 9421 20031 <br /> OWNER <br /> SKAY-TAYLOR,R TAYLOR& S <br /> 530 STUBBS BAY RD N <br /> LONG LAKE,MN 55356- <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 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 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 /> 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 /> � C.ti`> � / � / <br /> Applicant Permitee Signature Date sued y Signature Date <br />