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✓ • CITY OF ORONO 111111 <br /> *' 2 i0� 1, h I_ 0 I 648 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/21/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3105 CASCO POINT RD <br /> PIN 20-117-23-34-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,796.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)NTI,TFT60 <br /> APPLICANT MECHANICAL 72.45 <br /> STATE SURCHARGE MECH(VALUATION) 2.90 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 77.35 <br /> (763)428-3677 Payment(s) <br /> Minnesota State License#:mech-MB003401,plbg-PC691106 CREDIT CARD 4924 77.35 <br /> OWNER <br /> RICHEY,KENT& SUE <br /> 3105 CASCO PT RD <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 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 /> i <br /> Applicant Permitee Signature Date Issued By Signature Date <br />