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' CITY OF ORONO * z 0 1 z - 0 0 8 6 z * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 375 LEAF ST <br /> PIN : OS-117-23-14-0059 <br /> LEGAL DESC : BAYSIDE WOODS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 2,600.00 <br /> APPLICANT MECHANICAL 50.00 <br /> RESIDENTIAL HEATING&AIR,INC. STATE SURCHARGE MECH(VALUATION) 1.30 <br /> 1815 EAST 41ST STREET SUITE A <br /> MINNEAPOLIS,MN 55407- MAIL-IN FEE 2.00 <br /> (612)724-1899 TOTAL 53.30 <br /> OWNER <br /> GILBERTSON ET AL,MICHAEL R <br /> 375 LEAF ST <br /> LONG LAKE,MN 55356- <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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />