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CITY OF ORONO <br /> * 201S - 00984 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08103/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 660 NORTH SHORE DR W <br /> PIN : 06-117-23-33-0001 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,600.00 <br /> NOTE: (1)RUUD FURNACE AND(1)A/C UNIT <br /> APPLICANT MECHANICAL 82.50 <br /> STATE SURCHARGE MECH(VALUATION) 3.30 <br /> CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 87.80 <br /> COON RAPIDS,MN 55433 Payment(s) <br /> (763)757-6202 CHECK 19634 87.80 <br /> Minnesota State License#:mech-003503 <br /> OWNER <br /> ROHN,LARRY <br /> 660 NORTH SHORE DR W <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. <br /> Applicant Pffmitee Signature Datesue Signature Date <br />