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CITY OF ORONO PERMIT NO.: 2011-00496 <br /> il 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/20/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 135 OR NO ORCHARD RD N <br /> PIN : 34-118- 3-44-0035 <br /> LEGAL DESC : SUBDI ISION NO 1 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHMNICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECOANICAL-MULTIPLE <br /> VALUATION : $ 2,8 0.00 <br /> NOTE: (I)LENNOX COOLING SYSTE -MODEL 13ALX048-4 TONS <br /> i <br /> / <br /> I <br /> I <br /> APPLI ANT MECHANICAL 50.00 <br /> OWENS COMPANIES,INC. STATE SURCHARGE MECH(VALUATION) 1.40 <br /> 930 EAST 80TH STREET ii <br /> BLOOMINGTON,MN 55420{ MAIL-IN FEE 2.00 <br /> (952)854-3800 i TOTAL 53.40 <br /> PAID WITH CC# 7497 <br /> ON, NER <br /> RYDELL,EDMUND <br /> 135 ORONO ORCHARD R)N <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AN SWORN STATEMENT <br /> The work for which this permit s issued shall be performed according to <br /> the approved plans and specific tions,applicable City approvals,and the <br /> State Building Code. This pe it is for only the work described and does <br /> not grant permission for additi nal or related work which requires separate <br /> permits. All provisions of law and ordinances governing this type of work <br /> shall be compied with whethe or not specified herein.This permit will <br /> expire and become null and v id 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 Or assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revok at any time for due I,ause. <br /> / (oio� ill �/ / lp/ I <br /> App scant Permitee Si ature , Date Issu:`By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />