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CITY OF ORONO * 2 0 1 6 — a 0 e 6 7 * <br /> L , 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 500 OXFORD RD <br /> PIN : OS-117-23-41-0015 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,500.00 <br /> NOTE: REPLACE A/C <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.75 <br /> AIRICS HEATING LLC MAIL-IN FEE �.00 <br /> 2609 HWY 13 W <br /> BURNSVILLE,MN 55337- TOTAL 53.75 <br /> (952)345-0032 Payment(s) <br /> Minnesota State License#:mech-MB004088 CHECK 16286 53.75 <br /> OW1�iER <br /> NELSON,ALBIN&SUSAN <br /> 500 OXFORD RD <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 separate <br /> pertniu. 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 /> . <br /> C 7 ���/,� <br /> Applicant Permitee Signature Date Issu ignature Date <br />