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` ' CITY OF ORONO * 2 0 1 5 - 0 0 4 9 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 PINE VIEW DR <br /> PIN : 28-118-23-42-0010 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : 1WIECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CQNSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : � 17,000.00 <br /> NOTE: (1)LENNOX FURNACE <br /> (1)LENNOX A/C IJNIT <br /> (1)KITCHEN EXHAUST <br /> (4)BATH EXHAUST <br /> APPLICANT MECHANICAL 212.50 <br /> STATE SURCHARGE MECH(VALUATION) 8.50 <br /> MASSMANN,GEOTHERMAL&MECH TOTAL 221.00 <br /> 27944 96TH STREET Payment(s) <br /> ZIMMERMAN,MN 55398 CHECK 4291 221.00 <br /> (763)416-5066 <br /> Minnesota State License#:mech-MB003981 <br /> OWNER <br /> WIGGINS,JASON&AMANDA <br /> 410 N 2ND ST <br /> UNIT 449 <br /> MINNEAPOLIS,MN 55401- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perFormed according to <br /> the approved plans and specificatiops,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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 thC 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due caus�. <br /> � <br /> , a , �5 <br /> Applicant ermitee ignatura Date Issue y Signature Date <br />