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CITY OF ORONO * 2 0 1 4 - 0 0 6 4 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014 <br /> � ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 450 DF.BORAH DR <br /> PIN : 31-118-23-23-0008 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 005 BI_OCK 002 <br /> PERMIT TYPE : MECHANICAL (> $500) <br /> PROPERTY TYNF, : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOL[NG SYSTEMS <br /> VALUATION : S 4,899.50 <br /> NO"I'I:: 1 KI�:NMORI�;-1�I�UN ,1C� <br /> APPLICANT MECHANICAL 61.24 <br /> STATE SURCHARGE MECH (VALUATION) 2.45 <br /> KNIGH"I' HEA"I�ING& A[R COND MAIL-IN FEE 2.00 <br /> 13535 89T'H ST NE <br /> OTSEGO, MN 55330 TOTAL 65.69 <br /> (763)274-9945 Payment(s) <br /> CtiECK 10351 65.69 <br /> OWNER <br /> BIESTERFELD, ROBERT <br /> 450 DEBORAH DR <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for H°hich this permit is issued shall be perRxmcd accordine to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work dcscribed and ducs <br /> not grant permission for additional or related work which requires separate <br /> permits. nll provisions of laws and ordinances governing diis type of work <br /> shall he compied with whether or not specified hcrein.This permit will <br /> capirc and becomc null and void if construction authorized is not <br /> commenccJ within 180 days of the date of issuance,or if construction is <br /> suspendcd for a period of I 80 da}�s at any time after work has commenced. <br /> �I�he applicant is responsible for assurinc all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> rcvokcd at any timc for duc cause. <br /> / / <br /> Applicant Permitee Signtiture Date Issued F3��Signature Date <br />