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4 CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 0 2 2 <br /> DATE ISSUED: 0]/08/2018 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2425 OLD BEACH RD <br /> PIN : 21-117-23-22-0016 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)MODINE DH-60 <br /> APPLICANT MECHANICAL 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 1.25 <br /> MAIL-IN FEE 0.00 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- TOTAL 51.25 <br /> (952)926-4488 Payment(s) <br /> CREDIT CARD 7325 51.25 <br /> Minnesota State License#:mech-MB003390 <br /> OWNER <br /> WEINER,FREDERICK&ELIZABETH <br /> 2425 OLD BEACH 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 'me for du causa. <br /> Applicant Permitee Signature Date Issue By Signature Date <br />