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CITY OF ORONO 1*I 111113111111111111311101111 <br /> I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/29/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3554 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0148 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,176.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)REPLACEMENT HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.08 <br /> COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00 <br /> 18071 TERRITORIAL RD <br /> MAPLE GROVE,MN 55311- TOTAL 53.08 <br /> (763)208-6471 Payment(s) <br /> CHECK 012109 53.08 <br /> OWNER <br /> LUCKEY,JOHNATHAN&CHARRYSE <br /> 3554 LIVINGSTON AVE <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 /> (YV A41-141)210 126 1/4 o 1 <br /> Applicant Permitee Signature Date Issued By Sign rd a Date <br />