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• • <br /> CITY OF ORONO I l 11111111111111 1111111 11111 II 1 <br /> * 20 1 6 - 0 1 427 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/16/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1175 MOONEY LAKE DR <br /> PIN : 25-118-23-41-0017 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 8 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 50,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)CARRIER NATURAL GAS FURANCES <br /> (1)TRINITY NATURAL GAS FURNACE <br /> (2)CARRIER 3 TON A/C UNITS <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> GASLINE FOR 3 FIREPLACES,DRYER,BBQ AND RANGE <br /> APPLICANT MECHANICAL 625.00 <br /> STATE SURCHARGE MECH(VALUATION) 25.00 <br /> TREATED AIR COMPANY MAIL-IN FEE 2.00 <br /> 9954 166TH COURT <br /> BECKER,MN 55308- TOTAL 652.00 <br /> (763)262-0707 Payment(s) <br /> Minnesota State License#:HVAC-MB003789 CREDIT CARD 3100 652.00 <br /> OWNER <br /> ADELMAN,TIMOTHY <br /> 4545 TRILLIUM DRIVE <br /> MEDINA,MN 55340- <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 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 /> 1 '1 -'�Al /i / AO/ /' <br /> ApplicanaPermitee Signature Date Issued B I ignature Date <br />