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� , CITY OF ORONO * 2 0 1 5 - 0 0 9 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2490 CARMAN ST <br /> PIN : 20-117-23-12-0065 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 26,812.00 <br /> NOTE: (1)BRYANT NATURAL GAS FURANCE <br /> (1)BRYANT A/C <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> GASLINE TO DRYER,FIREPLACE AND RANGE <br /> APPLICANT MECHANICAL 335.15 <br /> STATE SURCHARGE MECH(VALUATION) 13.41 <br /> HORIZON CONTRACTORS, INC. TOTAL 348.56 <br /> 8197 HORIZON DR Payment(s) <br /> SHAKOPEE, MN 55379 CHECK 7417 348.56 <br /> (612)508-9226 <br /> Minnesota State License#: BUIL-003109 <br /> OWNER <br /> Lakeshore Holdings LLC <br /> 153 E LAKE ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIv 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 no[ <br /> commenced within 180 da of the date of issuance,or if construction is <br /> suspended for a period o 80 s at any time after work has commenced. <br /> The applicant is respo sylS f assurµ�g ail required inspections are <br /> requested in confo anc w'I}the State Building Code.This permit may be <br /> revoked at any ti ���oy�dudcause. <br /> .� . ,'. - <br /> � .��j <br /> � � � `C��.�� <br /> g l t' 11 � <br /> Applicant Permit Si ature Date Issued Signature Date <br />