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' '' CITY OF ORONO * 2 0 1 4 - 0 0 0 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1447 PARK DR <br /> PIN : 07-117-23-42-0021 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 008 BLOCK O15 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,000.00 <br /> NOTE: (1)LUXAIRE FURNACE <br /> (1)LUXAIRE A/C <br /> GASLINE FOR FIREPLACE AND RANGE <br /> APPLICANT MECHANICAL 100.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.00 <br /> BEN SCHERER PLUMBING&HVAC INC. TOTAL 104.00 <br /> 4520 85TH STREET SE Payment(s) <br /> DELANO,MN 55328- <br /> (763)972-8137 CHECK 7412 104.00 <br /> OWNER <br /> PALM,MARK&PAMELA <br /> 1447 PARK DR <br /> MOLJND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding to <br /> the approved plans and specifications,applicable Ciry 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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> <i�� �-3c��/ / i3t�l/ <br /> Applicant Permitee Signature Date Issued Signature Date <br />