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CITY OF ORONO 1111111111. 11I�I .11 HILIe II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/05/2016 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1065 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0009 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 014 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE:HEATING SYSTEM(BRYANT) <br /> APPLICANT MECHANICAL 53.75 <br /> STATE SURCHARGE MECH(VALUATION) 2.15 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 57.90 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 57.90 <br /> OWNER <br /> VEACH,BENJAMIN&MARIA <br /> 1065 WILLOW VIEW DR <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. /20 <br /> �e ,Gh <br /> Applicant Permitee Signature Date Issued By Signature Date <br />