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� CITY OF ORONO * z 0 1 7 - 0 0 1 1 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 195 CRYSTAL CREEK RD <br /> PIN : 33-118-23-32-0004 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,040.30 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE: 1 HEATING SYSTEM(PAYNE) <br /> APPLICANT MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.52 <br /> BWS PLUMB[NG,HEATING&AIR MA[L-[N FEE 2.00 <br /> 7251 WASHINGTON AVE S <br /> EDINA, MN 55435- TOTAL 52.52 <br /> (952)715-0979 Payment(s) <br /> CHECK 3547 52.52 <br /> OWNER <br /> JUDGE, BARRY <br /> 195 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORIY STATEMEIVT <br /> The work for which this permit is issued shall be perfonned 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> -, �,:� <br /> �� � � % - <br /> __ <br /> ��:"� f � ��; j 1� ����.�.-> �,��,� r ���� ..:� � �f , i � <br /> Applicant Permitee Signature �^ Date Issued By Signature Date <br />