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, .,����''I! <br /> ti <br /> CITY OF ORONO PERMiT No.: 2oii-o1a33 <br /> 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- �ATE IssuEn: 1 U14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2696 ETHEL AVE <br /> PIN : 20-117-23-24-0044 <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 : $ 7,967.00 <br /> NOTG: 1 BRYANT NAT GAS FURNACE <br /> 1 BRYANT 3 TON AC <br /> APPLICANT MECHANICAL 99.59 <br /> STANDARD HEATING&AIR CONDITION[NG STATE SURCHARGE MECH(VALUATION) 3.98 <br /> ]30 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS, MN 55411- MAIL-IN FEE 1.99 <br /> 612-824-2656 MISC FEE 0.00 <br /> TOTAL 105.56 <br /> OWNER <br /> KAUFFMANN,JANET <br /> 2696 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 /> [he approved plans and specitications,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 no[specified herein.This permit will <br /> expirc 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 I80 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[ime for due cause. <br /> �i�� � / / / / <br /> Applicant Permitee Signature Date Issued Sig re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIB D ABOVE. <br />