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CITY OF ORONO PERMIT NO.: 2011-00123 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 02/23/20ll <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3405 HIGH LA <br /> PIN : OS-117-23-11-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0843 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : MECHANICAL- MULT►PLE <br /> VALUATION : $ 10,000.00 <br /> NO I'E: 1 RUUD NAT. GAS FURNACE <br /> I RUUD 3"I'ON AC <br /> I <br /> APPLICANT MECHANICAL 125.00 <br /> RONS MECHANICAL, INC. S"CATE SURCHARGE MECH (VALUATION) 5.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> �� MISC FEE 0.00 <br /> TOTAL l 32.00 <br /> OWNER <br /> REILLY, KEVIN & DGNISE <br /> 3405 HIGH LA <br /> LONG LAI<E, MN 5�356- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he��ork for Hhich this permit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is tbr onl��the�eork described and does <br /> not grant permission lor additional or related work which rcquires scparatc <br /> permits. All provisions of la���s and ordinanccs govcrning this typc of w�ork <br /> shall be compied with���hether or not specitied herein."I�his 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 timc after work has commenced. <br /> The applicant is responsible for assurin�all required inspections are <br /> requestcd in conformance with the State 13uilding Code.This pennit may bc <br /> revoked at anv time I'or due cause. <br /> �Gl..+.� (/y�- / / l l <br /> Applicant Permitce Signature Date Issuc Qy nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. <br />