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CITY OF ORONO * Z 0 1 5 - 0 B 0 7 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU22/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 940 DAKOTA AVE <br /> PIN : 26-118-23-33-0016 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,500.00 <br /> NOTE: "IRANG HEATING SYSTEMS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> KNIGHT HEATING&AIR COND MAIL-TN FEE 2.00 <br /> 13535 89TH ST NE <br /> OTSEGO, MN 55330 TOTAL 53.25 <br /> (763)274-9945 Payment(s) <br /> CHECK 10553 53.25 <br /> OWIYER <br /> DIERINGER, MATTHEW&TAMI <br /> 940 DAKOTA AVE <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 /> Sta[e 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. n <br /> � /N 1 <br /> ������ � �� ��—�� ��'Yic� ��� � � Z-Z� I <br /> Applicant Permitee Signature Date Issued By S gnature Date <br />