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CITY OF ORONO * Z 0 1 5 - 0 0 4 1 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015 <br /> ` ORONO, MN 55356- <br /> ` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4174 HIGHWOOD RD <br /> PIN : 07-117-23-44-0026 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 032 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 9,500.00 <br /> NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM,ALL MAIN LEVEL DUCTWORK, 1 KITCHEN EXHAUST,4 BATH EXHAUSTS, i <br /> DRYER VENT, <br /> MAIN GAS LINE FOR FURNACE <br /> APPLICANT MECHANICAL 118.75 <br /> STATE SURCHARGE MECH(VALUATION) 4J5 <br /> PROFESSIONAL MECHAMCAL SERVICES MAIL-IN FEE 2.00 <br /> 8851 E. RESEARCH CTR RD <br /> NEW HOPE, MN 55428- TOTAL 125.50 <br /> (763)657-7421 Payment(s) <br /> Minnesota State License#: mech-MB003767 CREDIT CARD 9795 125.50 <br /> OWNER <br /> LUNDE, DAVE <br /> P O BOX 4551 <br /> ST PAUL, MN 55104- <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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> U' <br /> V� � , <br /> n��1,1 � �� �L�YY��-'r� 1� � ��� � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />