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r" �, CITY OF ORONO <br /> � � `��-�t'�} 2750 KELLEY PARKWAY * z 0 1 5 - 0 1 5 8 6 * <br /> '�����,�,, ��� DATE ISSUED: OU05/2016 <br /> / - r� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS ' : 3423 SHORELINE DR <br /> P[N ; : 20-117-23-12-0034 <br /> LEGAL DESC ' : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALLTATION ����/ : $ 9,000.00 <br /> NOTE: THIS PERMIT IS FOR:3435 SHORELINE DR <br /> 1 HEATING SYSTEM(GOODMAN), 1 MECHANICAL ROOM VENTILATION, 1 GAS LINE TO FURNACE IN MECHANICAL ROOM <br /> APPL[CANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> EL[TE CONTRACTORS INC. TOTAL 117.00 <br /> 3160 162ND LANE NW <br /> ANDOVER, MN 55304- Payment(s) <br /> (763)286-6519 CREDIT CARD 8836 117.00 <br /> Minnesota State License#: mech-MB005753 <br /> OWNER <br /> Brook Investment Group LLC <br /> 34321 MYRTLE LA <br /> UNION CITY,CA 94587- <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 t SO days at any time afrer 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 /> Applicant Permitee Signature Date Is ued Signature Date <br />