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w <br /> • CITY OF ORONO PERMIT NO.: 2oiaoo�9s <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1330 SIXTH AVE N <br /> PIN : 26-118-23-31-0010 <br /> LEGAL DESC : UNDERHILL FARMS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,500.00 <br /> NOTE: 1 CARRIER NAT GAS HEATING SYSTEM <br /> 1 CARRIER 3 TON AC <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 7221 UNIVERSITY AVE NE <br /> FRIDLEY,MN 55432 MAIL-IN FEE 2.00 <br /> (763)572-0459 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> BOHACH,WALLACE&SUSAN <br /> 1330 SIXTH AVE N <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 does <br /> not grant permission for additional or related work which requires separate <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 consuuction authorized is not <br /> commenced within 180 days of the date of issuance,or if wnstruction 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 ca�e. <br /> ��VIA�( �-vt l l l l <br /> Applicant Permitee Signature Date Issued ignature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />