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• CITY OF ORONO * 2 0 1 6 - PJ 1 4 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 CYGNET PL <br /> PIN : 04-117-23-22-0012 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,700.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE(1)DAIKIN NATURAL GAS FURNACE <br /> 80,000 INPUT BTU'S <br /> 64,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 1.85 <br /> 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 <br /> BUILDING A <br /> TOTAL 53.85 <br /> GOLDEN VALLEY,MN 55422- Payment(s) <br /> (763)512-2765 CHECK 20666 53.85 <br /> Minnesota State License#:mech-MB003503 <br /> OWNER <br /> BADER, LOUIS&NYLA <br /> 145 CYGNET PL <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 pians and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for o�ly the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. AlI 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. -- <br /> i <br /> � � � // / / . �/G- <br /> Applicant Permitee Signature Date Issued Signature Date �� <br />