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CITY OF ORONO 11 I I I Ii I II �I II I IIIIIIIII � I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/09/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3898 NORTH SHORE DR <br /> PIN : 08-117-23-33-0048 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,852.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.93 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- TOTAL 53.93 <br /> 612-824-2656 Payment(s) <br /> CHECK 55176 53.93 <br /> OWNER <br /> GRANNING,ROGER <br /> 3898 NORTH SHORE DR <br /> MOUND,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 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 /> P/0 / 1 <br /> c - G <br /> Applicant Permitee ignature d- ale Issued B nature Date y� <br />