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- • CITY OF ORONO I*0 I II III I I III II III I6II IIIA*I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0036 <br /> LEGAL DESC : ORONO AMBAR <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 4,000.00 <br /> NOTE: (1)COOLING SYSTEM-BRYANT- 113A-5 TONS <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 6511 HWY 12 TOTAL 52.00 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-1600 <br /> OWNER <br /> Orono Housing&Redevelop Authority <br /> 2750 KELLEY PKWY <br /> CRYSTAL BAY, 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 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 formance wit the State Building Code.This permit may be <br /> revoked at time ford c us <br /> Applicant Permitee Signature Date <br /> ssued i',y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />