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� * CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 3 5 5 * <br /> DATE ISSUED: 1 U20/2014 <br /> ORONO,MN 55356- <br /> 952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2509 KELLY AVE <br /> PIN : 20-117-23-12-0037 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1428 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,500.00 <br /> NOTE: (1)BRYANT FURNACE AND A/C <br /> APPLICANT MECHANICAL 118.75 <br /> STATE SURCHARGE MECH(VALUATION) 4.75 <br /> KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE,MN 55347- TOTAL 125.50 <br /> Payment(s) <br /> CREDIT CARD 7744 125.50 <br /> OWNER <br /> NADLER,CHARLES&CANDICE <br /> 2509 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 Ciry approvafs,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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.T'his 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 time for due cause. <br /> 1 .20 / �L�i �� l e2C�l �� <br /> App icant ermitee S' ature ate Issue y Signature Date <br />