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� � CITY OF ORONO * z 0 1 6 - 0 1 1 3 � * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3585 S1XTH AVE N <br /> PIN : 29-118-23-43-0004 <br /> LEGAL DESC : LJNPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW:HEATING SYSTEM(GOODMAN),COOLING SYSTEM(GOODMAN)&GAS LINE SECONDARY REGULATOR TO THE FURNACES <br /> APPLICANT MECHANICAL 162.50 <br /> STATE SURCHARGE MECH(VALUATION) 6.50 <br /> COUNTRYSIDE HEATING COOLING MAIL-IN FEE 2.00 <br /> 1960 COUNTY ROAD 90 <br /> SUITE 200 TOTAL 171.00 <br /> MAPLE PLAIN,MN 55359 Payment(s) <br /> (763)479-1600 CREDIT CARD 9770 171.00 <br /> Minnesota State License#:mech-MB680636 <br /> OWNER <br /> ANDERSON&DAVID LIND,RICK <br /> 3585 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis 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 widiin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 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 Buiiding Code.This permit may be ' <br /> revoked at any time for due cause. i ' � <br /> ._ .�� (_�z.� 1 ; _�..i`!��? <� ;�j' � �,.. <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />