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CITY OF ORONO * 2 0 1 5 — 0 0 6 9 2 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 2 249-4616 <br /> ADDRESS 1100 TOWNLINE RD <br /> PIN 30-118-23-32-0007 <br /> LEGAL DESC DIESEN DEVELOPMENT <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 2,850.00 <br /> NOTE: LENNOX COOLING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.43 <br /> OWENS COMPANIES, INC. MAIL-IN FEE 2.00 <br /> 930 EAST 80TH STREET <br /> BLOOMINGTON,MN 55420- TOTAL 53.43 <br /> (952)854-3800 Payment(s) <br /> CREDIT CARD 7497 53.43 <br /> OWNER <br /> DEAKINS, DOUGLAS <br /> 1100 TOWNLINE RD <br /> MAPLE PLAIN, MN 55359- <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 separat <br /> permits. All provisions of laws and ordinances governing this type of wo <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 commence <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pe it may I e <br /> revoked at any time for due cause. <br /> J <br /> Applicant Permitee Signature Date Issued By Signature Date <br />