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_ � CITY OF ORONO * 2 0 1 7 — PJ 1 4 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U07/2017 <br /> ORONO,NIN 55356- <br /> 952 249-4600 FAX: 952)249-4616 <br /> ADDRESS : 4460 NORTH SHORE DR <br /> PIN : 07-117-23-31-0039 <br /> LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ADDING INFLOOR LOOP TO EXISTING BOILDER FOR BATHROOM REMODEL <br /> 2 BATH EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> AVID HEATING AND COOLING MAIL-IN FEE 2.00 <br /> 7700 COLJNTY RD 110 W TOTAL 53.50 <br /> MINNETRISTA,MN 55364- <br /> (952)446-9975 Payment(s) <br /> Minnesota State License#:mech-MB660625 CHECK 9052 53.50 <br /> OWNER <br /> LOMA,JOSEPH&LISA <br /> 4460 NORTH SHORE DR <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificadons,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant petatission for addirional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 construcrion suthorized is not <br /> commenced within 180 days of t6e date of issuance,or if construction is <br /> suspended for a period of 180 days at any rime after work has commenced. <br /> The applicant is responsible for assuring all requ'ved inspections are <br /> requested in confarmance with the State Building Code.This permit may be <br /> revoked at aay time for due cause. <br /> • <br /> / / <br /> Applicant Permitee Signature Date Issued Signature Date <br />