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4 <br /> CITY OF ORONO * 2 0 1 6 — 0 0 8 7 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)2494616 <br /> ADDRESS : 220 NORTHGATE RD <br /> PIN : 36-118-23-41-0051 <br /> LEGAL DESC : NORTHGATE TWO <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)BATH EXHAAUST <br /> AIR EXCHANGER <br /> (4)SUPPLIES BASMENT <br /> (2)SUPPLIES MASTER <br /> 6"FRESH AIR <br /> MOVE CONDENSER <br /> APPLICANT MECHANICAL 92.40 <br /> PROFESSIONAL MECHANICAL SERVICES STATE SURCHARGE MECH(VALUATION) 3.85 <br /> 8851 E.RESEARCH CTR RD MAIL-IN FEE 2.00 <br /> NEW HOPE,MN 55428- TOTAL 98.25 <br /> (763)657-7421 Payment(s) <br /> Minnesota State License#:mech-MB003767 CHECK 2322 98.25 <br /> OWNER <br /> SEE,HENRY&GAIL <br /> 220 NORTHGATE 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 /> Applicant Permitee Signature Date Issue Signature Date <br />