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CITY OF ORONO * 2 0 1 6 - 0 PJ 8 9 5 * <br /> 2'750 KELLEY PARKWAY DATE ISSUED: 07/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 425 LAKEVIEW PKWY <br /> PIN : 06-117-23-32-0004 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT i BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)REZNOR HEATER-AND GASLINE TO GARAGE HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 1408 NORTHLAND DR-SUIT'E 310 MAIL-IN FEE 2.00 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 53.25 <br /> (952)881-9000 Payment(s) <br /> CHECK 16868 53.25 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWOR1�1 STATEMENT <br /> 1'he 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pennit 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C D `�"-e� � 7 �7,� � � 40 <br /> Applicant Permitee Signature Date Issued y 'ignature Date <br />