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• CITY OF ORONO 11111111111111 11 111111111111 111 I I I II <br /> 2750 KELLEY PARKWAY * x 0 1 7 — 0 PJ 1 5 3 <br /> DATE ISSUED: 02/21/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 500 OLD CRYSTAL BAY RD S <br /> PIN : 04-111-23-42-0029 <br /> LEGAL DESC : CRYSTAL BAY RETREAT <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 15,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL E ON SITE AT FINAL INSPECTION. <br /> NEW: 1 HEATING SYSTEM(AMANA), I COOLING SYSTEM(AMANA), I GAS FACTORY FIREPLACE <br /> VENTILATION: 1 KITCHEN EXHAUST,6 ATH FANS&GAS LINE <br /> APPLICANT MECHANICAL 187.50 <br /> STATE SURCHARGE MECH(VALUATION) 7.50 <br /> MIKE'S CUSTOM MECHANICAL INC <br /> P.O.BOX 171 MAIL-IN FEE 2.00 <br /> CHAMPLIN,MN 55316- TOTAL 197.00 <br /> (763)568-7148 Payment(s) <br /> Minnesota State License#:mech-MB005582,plbg-PC64492 CREDIT CARD 1743 197.00 <br /> OWNER <br /> MERZ,BRIAN&KATIE <br /> 2412 BLACK LAKE RD <br /> SPRING PARK,MN 55384- <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 gov ing this type of work <br /> shall be compied with whether or not specified hereih.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 /> /1417/y, <br /> Orb: <br /> Applicant Permitee Signature Date Issued By Signature Date <br />