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CITY OF ORONO * 2 0 1 7 - 0 0 5 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1000 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-11-0009 <br /> LEGAL DESC : FRENCH LAKE OF ORONO 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERM[T TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECTION. <br /> REPLACEFURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.75 <br /> TEAM MECHANICAL INC. MAIL-IN FEE 2.00 <br /> 3508 SNELLING AVENUE S <br /> MINNEAPOLIS,MN 55406- TOTAL 52.75 <br /> (612)729-5646 Payment(s) <br /> Minnesota State License#:mech-MB003782 CHECK 20828 52.75 <br /> OWNER <br /> FULLERTON, MARNA <br /> 1000 OLD CRYSTAL BAY RD S <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[he 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 l80 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 /> L �� � ��� 17 <br /> Applicant Permitee Signature Date Issued By ' ature Date <br />