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� <br /> CITY OF ORONO * Z 0 1 5 - 0 1 5 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/09/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 515 NORTH ARM DR <br /> PIN : T000129 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 22 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 30,155.00 <br /> NOTE: (2)LENNOX FURNACES <br /> (2)A/C UNITS <br /> GASLINE FOR 3 FP,2 FCE,2 DRYERS,RANGE,WATER HEATER AND MAIN <br /> APPLICANT MECHAMCAL 376.94 <br /> STATE SURCHARGE MECH(VALUATION) 15.08 <br /> SEDGWICK HEATING&A/C TOTAL 392.02 <br /> 1408 NORTHLAND DR-SUITE 310 Payment(s) <br /> MENDOTA HEIGHTS,MN 55118- CREDIT CARD 1741 392.02 <br /> (952) 881-9000 <br /> OWNER <br /> Source Land Development Inc. <br /> NORTON,CHRIS <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 wi[hin 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 /> i <br /> � l + ' / /✓� � r G / L ���/ �� <br /> Applicant Permitee Signa ure ate Is ue y Signature Date <br />