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CITY OF ORONO �* 20 �12 - 00543 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2697 ETHEL AVE <br /> PIN : 20-117-23-24-0045 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0115 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,400.00 <br /> NOTE: 1 TRANE NAT GAS FURNACE <br /> 1 2 TON AC <br /> APPLICANT <br /> MECHANICAL 105.00 <br /> TOTAL COMFORT STATE SURCHARGE MECH(VALUATION) 4.20 <br /> 4000 WINNETKA AVE N <br /> SUITE 10 MAIL-IN FEE 2.00 <br /> NEW HOPE,MN 55427- TOTAL 11 1 20 <br /> 0 <br /> OWNER <br /> COHEN,MARC&IRV <br /> 2697 ETHEL AVE <br /> WAYZATA,MN 55391- <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 /> (A/ - / / i l l <br /> Applicant Permitee Signature DateIssued y S.Stature j# )ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE i A:t)VE. <br />