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CITY OF ORONO * z 0 1 6 - 0 0 1 2 5 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 5 BROWN RD S <br /> PIN : 34-118-23-34-0009 <br /> LEGAL DESC : LINPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 7,900.00 <br /> NOTE: REPLACE 2 HEATING SYSTEMS(BOTH CARRIER BRAND) <br /> APPLICANT MECHANICAL 98.75 <br /> STATE SURCHARGE MECH(VALUATION) 3.95 <br /> CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 104.70 <br /> COON RAPIDS, MN 55433 Payment(s) <br /> (763)757-6202 CHECK 20118 104.70 <br /> Minnesota State License#:mech-003503 <br /> OWNER <br /> MATHISON, BRUCE <br /> 5 BROWN RD S <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 E3uilding 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 l80 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 /> � � � �_ �. 1�'� <br /> � � ���.2_���� �-/ � / �,� <br /> Applicant Permitee Signa ure ate Issued By Sign re Date <br />