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" ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 4 - 0 1 1 5 2J * <br /> DATE ISSUED: 10/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3726 LIVINGSTON AVE <br /> PIN : 17-117-23-34-0053 <br /> LEGAL DESC : LAKE MINNETONKA WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,997.00 <br /> NOTE: (1)CARRIER FURNACE-NATURAL GAS-3"FLUE-60,000 INPUT BUT'S,55,200 OUTPUT BTU'S- 1600 CFM <br /> ��� <br /> cr�i <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD TOTAL 53.50 <br /> PLYMOUTH,MN 55447 <br /> (763)473-2267 Payment(s) <br /> CREDIT CARD 0331 53.50 <br /> OWNER <br /> MATSEN, MARK <br /> 3726 LIVINGSTON AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORIV 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 /> ' � �o � /D � � � �y <br /> Applicant Permitee Signature Date Issue Signature Date <br />