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.�� CITY OF ORONO * 2 0 1 6 - 0 0 3 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 755 DICKEY LAKE DR <br /> PIN : 34-118-23-22-0009 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,200.00 <br /> NOTE: REPLACE: 1 HEATING SYSTEM(RUUD)& 1 COOLING SYSTEM(RUUD) <br /> APPLICANT MECHANICAL 102.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.10 <br /> CENTERPOINT ENERGY MAIL-IN FEE 2.00 <br /> 6161 GOLDEN VALLEY RD <br /> BUILDING A TOTAL 108.60 <br /> GOLDEN VALLEY,MN 55422- Payment(s) <br /> (763)512-2765 CHECK 20221 108.60 <br /> Minnesota State License#:mech-MB003503 <br /> O W NER <br /> ESAU,TERRANCE&MARY <br /> 755 DICKEY LAKE DR <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 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> �, . /�� <br /> � <br /> '-'�.C�-i � � �� :�o � l'���-� �- y � r �� 1 � <br /> i V �,. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />