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CITY OF ORONO IIIIIIIIIIIIIIIIIIIIIIIIIIII II IIIII 1111111 IIIIIIIIII <br /> * 2013 - 01284 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 12/11/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 41 WILLOW DR N <br /> PIN : 33-118-23-44-0031 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 012 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,396.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.70 <br /> ABEL HEATING AND COOLING MAIL-IN FEE <br /> 5.30 <br /> 6501 CTY ROAD 15 <br /> MINNETRISTA, MN 55364- TOTAL 57.00 <br /> (952)472-2665 Payment(s) <br /> CHECK 18672 57.00 <br /> OWNER <br /> OLSON, LONNY&AMY <br /> 41 WILLOW DR 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 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 /> Applicant Permitee Signature Date Issued By Sign t re Date <br />