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� ' CITY OF ORONO * 2 0 1 6 - 0 0 7 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06✓27/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1490 LONG LAKE BLVD <br /> PIN : 26-118-23-33-0002 <br /> LEGAL DESC : LTNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : 1�CHANICAL-MULTIPLE <br /> VALUATION : $ 7,821.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> APPLICANT MECHANICAL 97.76 <br /> STATE SURCHARGE MECH(VALUATION) 3.91 <br /> STANDARD HEATING&AIR CONDITIONING MpIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- TOTAL 103.67 <br /> 612-8242656 Payment(s) <br /> CHECK 51559 103.67 <br /> OW1�1ER <br /> BJORGEN,TRYGVE&BROOKE <br /> 1490 LONG LAKE BLVD <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this rype 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 I80 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 are <br /> requested in conformance with the State Building Code.This perrr►it may be <br /> revoked at any time for due cause. � <br /> ._ l�� �;.`� �.c��I ��.�.�c� � �z �� j �o <br /> Applicant Permitee Signature Date Issued By Signature Date <br />