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CITY OF ORONO * 2 0 1 7 - 0 0 5 2 3 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2017 <br /> • ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4730 AUGUSTA ST <br /> PIN : 06-117-23-32-0010 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 9 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 20,375.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW: 1 HEATING SYSTEM(BRYANT), 1 COOLMG SYSTEM(BRYANT),VENTILATION: 1 KITCHEN EXHAUST&6 BATH EXHAUST <br /> APPLICAI�IT MECHANICAL 254.69 <br /> STATE SURCHARGE MECH-(VALUATION) 10.19 <br /> SABRE PLUMBING&HEATING MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447- TOTAL 266.88 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7681 266.88 <br /> OW1�1ER <br /> Source Land Development Inc. <br /> 18215�45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 dces <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 l80 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 v/, _ <br /> revoked at any time for due cause. �U��� <br /> 1 � f � � � � �� / �� 1�7 <br /> Applicant Perrr►itee Signatur ate Issued By Signature Date <br />