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� CITY OF ORONO * Z 0 1 6 - 0 1 4 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2528 CASCO POINT RD <br /> PIN : 20-117-23-21-0015 <br /> LEGAL DESC : TOWNSITE OF LANGDON PAEZK <br /> : LOT 003 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,200.00 <br /> NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1) AMANA FURNACE <br /> APPLICANT MECHANICAL 52.50 <br /> STATE SURCHARGE MECH(VALUATION) 2.10 <br /> BLUE OX HEATING&AIR MAIL-IN FEE 2.00 <br /> 5720 INTERNATIONAL PKWY <br /> NEW HOPE, MN 55428- TOTAL 56.60 <br /> (612)238-9709 Payment(s) <br /> Minnesota State License#: mech-MB671957 CREDIT CA�D 0100 56.60 <br /> OWNER <br /> SVANG,MARIE <br /> 2528 CASCO PT RD <br /> WAYZATA, MN 55391- <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 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 not <br /> commenced within l80 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 /> � � _ , /b, l(o <br /> �-r��-�--�� -� i� <br /> Applicant Permitee Signature Date [ssued By ignature Date <br />