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� , <br /> CITY OF ORONO * 2 0 1 8 - 0 0 2 7 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1448 PARK DR <br /> PIN : 07-117-23-43-0027 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : 1VIECHANICAL-MULTIPLE <br /> VALUATION : $ 8,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)AMANA HEATING SYSTEM <br /> (1)AMANA 3-TON A/C <br /> APPLICANT MECHANICAL 100.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.00 <br /> BLUE OX HEATING&AIR MAIL-IN FEE 2.00 - <br /> 5720 INTERNATIONAL PKWY <br /> NEW HOPE,MN 55428- TOTAL 106.00 <br /> (612)23&9709 Payment(s) <br /> Minnesota State License#:mech-MB671957 CHECK 13079 106.00 <br /> OWNER <br /> ERICKSON,DAVID&LAREL <br /> 1448 PARK DR <br /> MOLTND,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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia 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�'J���G� � .�r' �� �-i �i-/ <br /> Applicant Permitee Signature Date Issue y ignature Date <br />