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� CITY OF ORONO * 2 0 1 6 — 0 1 5 7 1 * <br /> . 2750 KELLEY PARKWAY DATE [SSUED: 12/27/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 930 DAKOTA AVE <br /> PIN : 26-118-23-33-0024 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEAT[NG SYSTEMS <br /> VALUATION : $ 3,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FfNAL INSPECTION. <br /> REPLACE HEAT[NG SYSTEM(RUUD) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> CENTERPOINT ENERGY MAIL-IN FEE 2.00 <br /> 6161 GOLDEN VALLEY RD <br /> BUILD[NG A TOTAL 53.50 <br /> GOLDEN VALLEY, MN 55422- Payment(s) <br /> (763)512-2765 CHECK 20742 53.50 <br /> Minnesota State License#:mech-MB003503 <br /> OWNER <br /> ODEAN ET AL,THOMAS <br /> 930 DAKOTA AVE <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 approva►s,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 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. �,i� , <br /> > � � <br /> ��'��C'tf ��c � � � i `�r ��`_ _���� ,, f �_ c � (� �-� I . � �� i � /(� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />