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� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z � 1 7 — 0 1 2 4 5 * <br /> DATE ISSUED: 10/03/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1300 SHORELINE DR <br /> PIN : 02-117-23-31-0018 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 014 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,425.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> iLENNOXFURNANCE <br /> APPLICANT MECHANICAL 5531 <br /> STATE SURCHARGE MECH(VALUATION) 2.21 <br /> OWENS COMPANIES,INC. MAIL-IN FEE 0.00 <br /> 930 EAST 80TH STREET <br /> BLOOMINGTON,MN 55420- TOTAL 57.52 <br /> (952)854-3800 Payment(s) <br /> Minnesota State License#:mech-Mb003718 CHECK 14703 57.52 <br /> OWNER <br /> BROWN,RICHARD <br /> 1300 SHORELINE DR <br /> WAYZATA,MN 55391- <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 Ciry 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 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 suthorized 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 for assuring all required inspections are <br /> requested in wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��'��� /�=3- l � 0� � !� y� 1�� 3 / /7 <br /> Applwant Permitee Signature Date Iss d By Signature e �� Date <br />