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., CITY OF ORONO * 2 0 1 4 - 0 P1 1 6� <br /> f 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4055 ELM ST <br /> P1N : 06-117-23-41-0106 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 009 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 28,500.00 <br /> N07'E;: 1 BRYANT NAT GAS EURNnCE <br /> 1 MUNCKIN E30ILGR NAT GAS <br /> 1 BRYANT 4 TON AC <br /> 5 BATH FANS <br /> 1 GAS [,INE TO FP <br /> APPLICANT MECHANICAL 35625 <br /> STATE SURCHARGE MECH (VALUATION) 14.25 <br /> HERNKES HEATING&COOLING INC. TOTAL 370.50 <br /> 419 E. HOFFMAN ST <br /> CANNON FALLS, MN 55009- Payment(s) <br /> CHECK 5101 370.50 <br /> OWNER <br /> FRITZ, MATT <br /> 9125 LOUISIANA AVE N <br /> BROOKLYN PARK, MN 55443- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicablc City approvals,and [he <br /> State Building Codc. This permi[is for only the work described and does <br /> not grant permission 1'or additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 da[e of issuance,or if construction is <br /> suspended for a period of 180 days a[any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim fbr due cause. <br /> 2- 2 -/ � / / <br /> Ap I� Permitee Si ture Date Issued By nature Date <br />