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4 <br /> ' CITY OF ORONO * Z 0 1 7 - 0 0 7 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2090 SHORELINE DR <br /> PIN : 15-117-23-23-0001 <br /> LEGAL DESC : LJNPLATTED 15 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 25,900.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL <br /> (2)TRANE HEATING SYSTEMS <br /> (2)TRANE COOLING SYSTEMS <br /> (1)KITCHEN EXHAUST <br /> (4)BATH EXHAUST <br /> APPLICANT MECHANICAL 323.75 <br /> STATE SURCHARGE MECH(VALUATION) 12.95 <br /> RAY N. WELTER HEATING CO MAIL-IN FEE 2.00 <br /> 4637 CHICAGO AVE <br /> MINNEAPOLIS,MN 55407- TOTAL 338.70 <br /> (612)825-6867 Payment(s) <br /> Minnesota State License#: mech-003163 CREDIT CARD 1568 338.70 <br /> OWNER <br /> HEAD, MARTHA <br /> 1616 W.22ND STREET <br /> MINNEAPOLIS,MN 55405- <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 l80 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 permit may be <br /> revoked at any time for due cause. <br /> � <br /> , Y � � � � �� � �����7 <br /> Applicant Permitee Signature Date Is u �y Signature Date <br />