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� <br /> ,' �' CITY OF ORONO * 2 0 1 5 - 0 1 1 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3465 SHORELINE DR <br /> PIN : 20-117-23-12-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,975.00 <br /> NOTE: SLANTFIN-NATURAL GAS-8"FLUE-250,000 INPUT,201,000 OUTPUT <br /> APPLICANT MECHANICAL 149.69 <br /> STATE SURCHARGE MECH(VALUATION) 5.99 <br /> CITY VIEW PLUMBING&HEATING TOTAL 155.68 <br /> 1880-B WAYZATA BLVD W <br /> P.O.BOX 150 Payment(s) <br /> LONG LAKE,MN 55356 CHECK 35616 155.68 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> Shoreline Center <br /> REALTY LLC,NAVARRE <br /> PO BOX 3 <br /> MINNETONKA BEACH,MN 55361- <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 goveming 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 consWction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ` <br /> 9 , �o `' P' ,�/ ���� <br /> �cant Perrr►i ee ignature Da Issued Signature Date <br />