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� "' CITY OF ORONO * z � 1 7 - 0 1 2 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2017 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 85,980.00 <br /> NOTE: ALL TESTMG REPORTS SHALL BE ON S[TE AT FINAL INSPECTION. <br /> 3-FURNACE <br /> 2-A/C <br /> OUTDOOR GRILL <br /> 2-DRYER <br /> 3 FIREPLACE <br /> APPLICANT MECHANICAL 1,074.75 <br /> STATE SURCHARGE MECH(VALUATION) 42.99 <br /> HORIZON CONTRACTORS, INC. MAIL-IN FEE 0.00 <br /> 8197 HORIZON DR <br /> SHAKOPEE,MN 55379 TOTAL 1,117.74 <br /> (612)508-9226 Payment(s) <br /> Minnesota State License#: BUIL-MB00319 CHECK 8736 1,117.74 <br /> OWNER <br /> WOHLWEND,DAVID <br /> 4526 BLUEBELL TRAIL S <br /> MEDINA,MN 55340- <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 governing 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 respqns e fpr assuring all required inspections are <br /> reques[ed in confomta e tfh the State Building Code.This permit may be <br /> revoked at any t�trie f r �cause. <br /> / , . ` <br /> p ��/�7 /D � ��l 7 <br /> Applicant Permitee Signature Date Issu By Signature Date <br />