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CITY OF ORONO *" z 0 1 3 _ 0 0 5 8 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/01/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4731 NORTH SHORE DR <br /> PIN 07-117-23-32-0067 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> LOT MB BLOCK 5 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 15,000.00 <br /> NOTE: (1)DAY&NIGHT FURNACE-NATURAL GAS <br /> (1)ELECTRIC BOILER <br /> (1)DAY&NIGHT A/C UNIT <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> GASLINE FOR(2)FIREPLACES,DRYER,AND COOKTOP <br /> AIR EXCHANGER <br /> APPLICANT MECHANICAL 187.50 <br /> MASTER HEATING&COOLING LLC STATE SURCHARGE MECH(VALUATION) 7.50 <br /> 4963 70TH AVENUE TOTAL 195.00 <br /> LORETTO,MN 55357 <br /> (763)498-7883 <br /> OWNER <br /> Colson Custom Homes <br /> 216 WATER STREET <br /> EXCELSIOR,MN 55331- <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 /> rev d at any tim fo due cause. <br /> A cant Permitee Signature Date 41sid4Zy—Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />