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CITY OF ORONO * Z 0 1 2 — 0 0 6 4 8 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1995 FOX RIDGE RD <br /> PIN : 03-117-23-13-0005 <br /> LEGAL DESC : FOX RIDGE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATIOIY : $ 3,900.00 <br /> NOTE: 1 CARRIER 3 7'ON AC <br /> APPLICANT MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 1.95 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-[N FEE 2.00 <br /> COON RAPIDS, MN 55433 TOTAL 53.95 <br /> (763)757-6202 <br /> OWNER <br /> KIELEY,THOMAS <br /> 1995 FOX RIDGE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'l�he 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 separatc <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 timc for due cause.- <br /> �'�12Gc�C-Q � v� l l <br /> P� 6 �K��,( � � <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />