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-� CITY OF ORONO * Z 0 1 6 — 0 1 4 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U28/2016 <br /> ORONO, MN 55356— <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3120 NORTH SHORE DR <br /> PIN : 09-117-23-32-0007 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULT[PLE <br /> VALUATION : $ 3,300.00 <br /> NOTE: (1)LENNOX NATURAL GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.65 <br /> OWENS COMPANIES, INC. MAIL-IN FEE 2.00 <br /> 930 EAST 80TH STREET <br /> BLOOMINGTON, MN 55420- TOTAL 53.65 <br /> (952) 854-3800 Payment(s) <br /> Minnesota State License#: mech-Mb003718 CREDIT CARD 7497 53.65 <br /> OWNER <br /> CREE,MARK&NANCY <br /> 3120 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIYD 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of lA0 days at any time afrer 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 /> i <br /> � / c�� /� <br /> Applicant ermitee Signature Date Issued ignature Da e <br />