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� CITYOFORONO * 2013 - 00497 * <br /> 1 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> � <br /> ADDRESS � : 1910 SHORELINE DR <br /> PIN ; 10-117-23-42-0017 <br /> LEGAL DESC : REG.LAND SURVEY NO.0096 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 35,458.00 <br /> NOTE: 3 CARRIER NAT GAS FURNACES <br /> 3 CARRIER ACS <br /> 1 MAKEUP AIR FAN <br /> 3 GAS LINES-FURNACES,FP,WATER HEATER,COOKTOP,DRYER <br /> APPLICANT MECHANICAL 443.23 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 17.73 <br /> 2200 HIGHWAY 13 MAIL-IN FEE 2.00 <br /> BURNSVILLE,MN 55337 <br /> (952)767-1000 TOTAL 462.96 <br /> OWNER <br /> &H MOUSAVINASAB,MAJID FEHRESTI <br /> 1910 SHORELINE DR <br /> WAYZATA,MN 55391- <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 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 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 aze <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause.� <br /> �h.t'�t.�.,( �' i i i i <br /> Applicant Permitee Signature Date Issued By Si ture _H�at'e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />