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CITY OF ORONO * 2 0 1 6 - 0 1 3 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3960 BAYSIDE RD <br /> pIN : OS-117-23-22-0015 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 36,464.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX FURNACE <br /> (1)GEOCOMFORT HEATING SYSTEM <br /> (1)GEOCOMFORT COOLING SYSTEM <br /> (1)KITCHEN EXHAUST-6" DUCT-250 CFM <br /> (7)BATH EXHAUST-50-ll0 CFM <br /> APPLICAI�IT MECHANICAL 455.80 <br /> STATE SURCHARGE MECH(VALUATION) 18.23 <br /> MASSMANN,GEOTHERMAL&MECH MAIL-IN FEE 2.00 <br /> 27944 96TH STREET <br /> ZIMMERMAN,MN 55398 TOTAL 476.03 <br /> (763)416-5066 Payment(s) <br /> Minnesota State License#: mech-MB003981 CREDIT CARD 7350 476.03 <br /> OWNER <br /> LOVELESS,CHRISTOPHER&KAT1E <br /> 3960 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEME1vT 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 whedier or not specified herein.This permit will <br /> expire and become null and void if construction audiorized 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 /> � <br /> 0 � �Dl 2Z `,� <br /> Applicant ermite Signature Date Issued B Si ature Date <br />