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-� CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 7 1 5 * <br /> DATE ISSUED: 06/05/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2655 KELLY AVE <br /> PIN : 20-117-23-14-0025 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 33,890.00 <br /> NOTE: 3 HEATING SYSTEMS&3 COOLING SYSTEMS <br /> APPLICANT MECHANICAL 423.63 <br /> STATE SURCHARGE MECH(VALUATION) 16.95 <br /> AIR MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE,MN 55304 TOTAL 442.58 <br /> (763)4347747 Payment(s) <br /> CHECK 045808 442.58 <br /> OWNER <br /> EUGSTER,JACK&CAMMIE <br /> 2655 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 City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming 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 conswction 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 /> . � <br /> �/'� .ls�' c�� � 1� /� // S <br /> Applicant Permitee Signa re ���� � Date Issued By Signature Date <br />