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CITY OF ORONO * z 0 1 7 - 0 0 0 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU20/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3405 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0022 <br /> LEGAL DESC : WALLACES ADDN TO V(L OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ I5,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPF;CTION. <br /> (1)BRYANTNATURAL GAS FURNACE AND(I)BRYANT A/C <br /> APPLICANT MECHANICAL 187.50 <br /> STATE SURCHARGE MECH(VALUATION) 7.50 <br /> PRONTO HEAT[NG&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA, MN 55439- TOTAL 197.00 <br /> (952)835-7777 Payment(s) <br /> Minnesota State License#: mech-MB004828 CHECK 12943 197.00 <br /> OWNER <br /> SWEET,CATHERINE <br /> 3405 CRYSTAL BAY 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 /> die 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 I SO days of the date of issuance,or if construction is <br /> suspended for a period of 1 AO days at any time atter 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 �.1Z I r�� l I�7 <br /> Applicant Permitee Signature Date ssued Signature Date <br />