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, CITY OF ORONO * Z 0 1 6 - 0 0 8 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2016 <br /> � ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3050 JAMESTOWN RD <br /> pl� : 28-118-23-33-0015 <br /> LEGAL DESC : LIBERTY ACRES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,850.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPAIR HEATING SYSTEM(BRYANT) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.93 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COLJNTY ROAD 81 TOTAL 53.93 <br /> MAPLE GROVE, MN 55369- <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 7121 53.93 <br /> OWNER <br /> PAGE,ANDREW&JULIE <br /> 3050 JAMESTOWN RD <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 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 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 /> � ��' � <br /> � � _ � .. - - <br /> � � C{ j (..Q C� Cl�}— C:c�< c �"..� � •t'�:�L, ,..7/ / �// (V�. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />