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CITY OF ORONO * Z 0 1 6 - 0 0 9 9 0 * <br /> ' _. 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 MANOR CIR <br /> PIiY : 04-117-23-11-0024 <br /> LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,012.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE: 1 HEATING SYSTEM(YORK), 1 COOLING SYSTEM(YORK),2 BATH EXHAUSTS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.51 <br /> HIGH ROAD HEATING&COOLING CO MAIL-IN FEE 2.00 <br /> 6650 WINDFIELD CIRCLE N <br /> ROCKFORD, MN 55373- TOTAL 52.51 <br /> (763)477-3331 Payment(s) <br /> Minnesota State License#: mech-MB04749 CREDIT CARD 7310 52.51 <br /> OWNER <br /> NAFSTAD, ADAM&KRISTIN <br /> 145 MANOR CIR <br /> LONG LAKE,MN 55356- <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 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 <br /> revoked at any time for due cause. � <br /> f-� � . / � <br /> �` � ��� � ��..�`-E s�V �S� i f f�i l k� <br /> Applicant Permitee Signature Date Issued By Sigp ture Date <br />