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CITY OF ORONO 111 Mt 1 11 11 .1111111111 <br /> 2750 KELLEY PARKWAY * 21 - 0 0 2 9 2 <br /> DATE ISSUE00292 <br /> 03/14/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4105 HIGHWOOD RD <br /> PIN : 07-117-23-44-0014 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 7,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)YORK YP9C080R16MP11 <br /> APPLICANT MECHANICAL 87.50 <br /> STATE SURCHARGE MECH(VALUATION) 3.50 <br /> ANDERSON COOLING&HEATING <br /> 20 HILLCREST DR TOTAL 91.00 <br /> TONKA BAY,MN 55331- <br /> Payment(s) <br /> (612)202-7673 CREDIT CARD 4786 91.00 <br /> OWNER <br /> PETERSON,JASON <br /> 4105 HIGHWOOD RD <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 /> /. /' • // i/.Lb I s � l/y I/7_ <br /> Applicant ermitee Signature Date Issued/4 Signature Date <br />