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CITY OF ORONO * Z 0 1 5 - 0 0 5 8 4 * <br /> r ` 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1080 BROWN RD N <br /> PIN : 27-118-23-42-0013 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,215.00 <br /> NOTE: (I)DAIKIN A/C-2 TONS <br /> (2)DAIKIN A/C- 1 TON EACH <br /> APPLICANT MECHANICAL 90.19 <br /> STATE SURCHARGE MECH(VALUATION) 3.61 <br /> COMFORT MATTERS HEATING&COOLING MqIL-IN FEE 2.00 <br /> 11238 RIVER ROAD NE TOTAL 95.80 <br /> HANOVER,MN 55341- <br /> (763)208-6471 Payment(s) <br /> CREDIT CARD 5989 95.80 <br /> OWNER <br /> PASZKIEWICZ&DANIELLE SCHUETTE,JOHN <br /> 1080 BROWN RD 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 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 /> , <br /> v S�/�--�/ <br /> Applicant Permitee gnature Date Issue y Signature Date <br />