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CITY OF ORONO * Z 0 1 3 - 0 1 1 4 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2013 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3414 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0023 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,901.00 <br /> NOTE: 1 BRYANT NAT GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.95 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> 612-824-2656 TOTAL 53.95 <br /> OWNER <br /> BORG,CARL&CAREN <br /> 3414 LIVINGSTON AVE <br /> WAYZATA, MN 55391 <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 sepazate <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 aRer 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />