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CITY OF ORONO * z 0 1 7 - 0 0 0 0 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU05/2017 <br /> � ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4590 NORTH ARM DR W <br /> P[N : 06-117-23-24-0016 <br /> LEGAL DESC : N/A <br /> : LOT 002 BLOCK 001 <br /> PERM[T TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,333.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE:HEAT[NG SYSTEM(DAIKIN) <br /> APPLICANT MECHAN[CAL 66.66 <br /> STATE SURCHARGE MECH(VALUATION) 2.67 <br /> COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00 <br /> 11238 RIVER ROAD NE <br /> HANOVER, MN 55341- TOTAL 71.33 <br /> (763)208-6471 Payment(s) <br /> CREDIT CARD 3 l52 71.33 <br /> OWNER <br /> HAGLUND, BARRY&JANICE <br /> 4590 NORTH ARM DR W <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1 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 separate <br /> permits. All provisions of laws 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 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. y j� <br /> /` <br /> ����. 1 � ( /' �'� _ <br /> ;— .: ' `�, <br /> 4�� � � ��, l ` i r\_.. �1 C`ti..,k. 1 f �_- �L- � �J�._ � / �_�,- / / '--1 <br /> { <br /> Applicant Permitee Signature Date Issued By Signature Date <br />