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' ' CITY OF ORONO <br /> * Z 0 1 4 - 0 1 2 3 8 * <br /> 2750 KELLEY PARKWAY DA'r��SSUE�: 10/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 195 BROWN RD S <br /> PIN : 03-117-23-21-0022 <br /> LEGAL DESC : KROGS ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> VALUATION : $ 11,000.00 <br /> NOTE: 1 LENNOX GAS& 1 LENNOX AIR <br /> APPLICANT MECHANICAL 137.50 <br /> STATE SURCHARGE MECH(VALUATION) 5.50 <br /> GV HEATING&AIR, INC. MAIL-IN FEE 2.00 <br /> 5182 W. BROADWAY <br /> CRYSTAL, MN 55429- TOTAL 145.00 <br /> �� Payment(s) <br /> CREDIT CARD 7420 145.00 <br /> OWNER <br /> ELDER,JAMES& BARBARA <br /> 195 BROWN RD S <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 /> [he 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 /> r�.� � ' �� � �� <br /> Applicant Permitee Signature Date ssued y Signature Date <br />