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CITY OF ORONO * 20 1 4 - 0 1 z 1 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2725 WHITE OAK CIR <br /> PIN : 04-117-23-42-0025 <br /> LEGAL DESC : WHITE OAK OVERLOOK <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,455.00 <br /> NOTE: (1)BRYANT FURNACE AND A/C <br /> FURANCE-NATURAL GAS-6"FLUE- 120,000 INPUT, 115,200 OUTPUT, 1335-2185 CFM <br /> A/C-4 TON <br /> APPLICANT MECHANICAL 118.19 <br /> STATE SURCHARGE MECH(VALUATION) 4.73 <br /> DUCTWORKS HEATING AND AIR MAIL-IN FEE 2.00 <br /> 6108 OLSON MEMORIAL HWY TOTAL 124.92 <br /> GOLDEN VALLEY,MN 55422- <br /> (763)521-0070 Payment(s) <br /> Minnesota State License#: mech-MB003589 CHECK 4360 124.92 <br /> OWNER <br /> MIDDLETON, DANIEL&CAROLINE <br /> 2725 WHITE OAK CIR <br /> LONG LAKE,MN 55356- <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 /> (Cri/t4gleX) // L <br /> a //: <br /> Applicant Permitee Signature Date Issu By Signature Date <br />