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� ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 0 4 2 * <br /> DATE ISSUED: Ol/13/2016 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4645 ST.ANDREWS ST <br /> PIN : 06-117-23-31-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 14 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 43,385.00 <br /> NOTE: (2)BRYANT FURNACES <br /> (1)BEZNOR FURNACE <br /> (1)ELECTRO FURNACE <br /> (2)BRYANT A/C UNITS <br /> (1)KITCI-IEN EXHAUST <br /> (8)BATH EXHAUST <br /> APPLICANT MECHANICAL 54231 <br /> STATE SURCHARGE MECH(VALUATION) 21.69 <br /> SABRE HEATING 8c AIR COND INC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD TOTAL 566.00 <br /> PLYMOUTH,MN 55447- <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 9764 566.00 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUT'H,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Bui►ding Code. This permit is for only the work described and dces <br /> not grant permission for additional or rolated work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 aze <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time for due cause. <br /> , � � l � / ��/ �� <br /> Applicant Permitee Signature Date Issued Signature Date <br />