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t �� CITY OF ORONO * Z 0 1 4 - 0 1 0 5 7 * <br /> 2750 KELLEY PARKWAY DAT ISSUED: 09/18/2014 <br /> ORONO,MN 55356- ' <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 568 KEENE AVE I <br /> PIN : 02-117-23-31-0042 ' <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYP : RESIDENTIAL <br /> CONSTRUCTIO TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,150.00 <br /> NOTE: FUJITSU A,�C LJNIT-3/4 TON <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUA ION) 1.08 <br /> SKYLINE HEAT G LLC TOTAL 51.08 <br /> 480 S SKYLINE RIVE Payment(s) <br /> ROBERTS,MN 5 023- CHECK 1483 51.08 <br /> Minnesota State LiCense#:mech-MB645084 <br /> OWNER <br /> DAVIDSON,DO ALD&JOANNE <br /> 568 KEENE AVE. <br /> WAYZATA,MN 5391- <br /> AGREEM NT AND SWORN STATEMENT <br /> The work for which th s permit is issued shall be perfortned according to <br /> the approved plans an specifications,applicable City approvals,and the <br /> State Building Code. his permit is for only the work described and does <br /> not grant permission f r additional or related work which requires separate <br /> permits. All provision of laws and ordinances governing this type of work <br /> shall be compied with hether or not specified herein.This permit will <br /> expire and become nul and void if construction authorized is not <br /> commenced within 18 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 respo sible for assuring all required inspections are <br /> requested in conform ce with the State Building Code.This permit may be <br /> revoked at any time fo due cause. <br /> 9��� / / <br /> pp ermitee ignature Date Is ed By Signature Date <br />