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, CITY OF ORONO * z 0 1 z - B 0 2 2 5 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 140 BROWN RD S <br /> PIN : 03-117-23-12-0011 <br /> LEGAL DESC : KALLESTAD ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCT[ON TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,933.06 <br /> NOTE: 1 ONE HOUR SSX14036 <br /> APPLICANT MECHANICAL 61.66 <br /> NORTHERN HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 2.47 <br /> 9431 ALPINE DR <br /> RAMSEY, MN 55303 MAIL-IN FEE 2.00 <br /> (763)323-7597 TOTAL 66.13 <br /> OWNER <br /> COLEMAN, MR. & MRS. <br /> 140 BROWN RD S <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 /> dic 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 wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended Yor 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 /> \_�,�"l, " V' � � l l <br /> Applicant Permitee Signature Date Issued By ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />