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„ CITY OF ORONO * 2 0 1 4 - 0 1 1 z 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/OU2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2655 PHEASANT RD <br /> PIN : 21-117-23-23-0005 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 18,504.00 <br /> NOTE: (1)TRIANGLE TUBE BOILER-MODEL#PT175-NATURAL GAS- 175,000 INPUT, 166,250 OUTPUT <br /> APPLICANT MECHANICAL 231.30 <br /> STATE SURCHARGE MECH(VALUATION) 9.25 <br /> PEAK HEATING&COOLING, INC. TOTAL 240.55 <br /> 7801 PARK DR. Payment(s) <br /> CHANHASSEN,MN 55317 <br /> (952)401-1 l95 CHECK 6688 240.55 <br /> Minnesota State License#: mech-MB003156 <br /> OWNER <br /> JOHNSON,JAMES&CHERYL <br /> 2655 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 Iaws and ordinances governing this rype 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 l 0 days of the date of issuance,or if construction is <br /> suspended for a perio of 180 days at any time after work has commenced. <br /> The pplicant respo sible f assuring all required inspections are <br /> req ed in co rtn e with State Building Code.This permit may be <br /> rev e at any ti f ue cau . <br /> Ci'�� �� /D�o� ��-' <br /> Appli t Pe 'tee 'gna r Date Iss d By Signature Date <br />