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CITY OF ORONO 1131111111111113111111111111111111111311 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2610 WEST LAFAYETTE RD <br /> PIN : 21-117-23-24-0043 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 011 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 24,350.00 <br /> NOTE: (1)BRYANT FURNACE-NATURAL GAS-2"FLUE-80,000 INPUT BTU'S- 1400 CFM <br /> (1)BRYANT A/C-3 TONS <br /> (10 BATH EXHAUST- 110 CFM <br /> APPLICANT MECHANICAL 304.38 <br /> STATE SURCHARGE MECH(VALUATION) 12.18 <br /> ZAHLER HEATING&A/C MAIL IN FEE 2.00 <br /> 6429 W.218TH STREET <br /> JORDAN, MN 55352 TOTAL 318.56 <br /> (952)492-5558 Payment(s) <br /> Minnesota State License#: mech-MB004790 CREDIT CARD 1478 318.56 <br /> OWNER <br /> ENQUIST,CYNTHIA <br /> 2610 WEST LAFAYETTE RD <br /> EXCELSIOR,MN 55331 <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 180 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 /> / j / / <br /> Applicant Permitee Signature Date Iss /d By Signature Date <br />