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CITY OF ORONO I*I I I I1I 11 II 11 I I 1 I 1 I I I I II <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 05/05/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 NORTH ARM DR <br /> PIN : 06-117-23-43-0009 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,560.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE: I HEATING SYSTEM(YORK)& 1 COOLLING SYSTEM(YORK) <br /> APPLICANT MECHANICAL 94.50 <br /> STATE SURCHARGE MECH(VALUATION) 3.78 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. TOTAL 100.28 <br /> MINNEAPOLIS,MN 55411- <br /> 612-824-2656 Payment(s) <br /> CHECK 53768 100.28 <br /> OWNER <br /> CARLSON,JEFFREY <br /> 770 NORTH ARM DR <br /> MOUND,MN 55364- <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 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 <br /> 1.170 <br /> Applicant Permitee Signature Date Issued By SignaturC Date <br />