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CITY OF ORONO 1 1 I II I I I IIII6iII I II* <br /> f _ 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 865 WINDJAMMER LA <br /> PIN : 07-117-23-12-0028 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 19,750.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)HEATING SYSTEM <br /> APPLICANT MECHANICAL 246.88 <br /> STATE SURCHARGE MECH(VALUATION) 9.88 <br /> COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00 <br /> 11238 RIVER ROAD NE <br /> HANOVER,MN 55341- TOTAL 258.76 <br /> (763)208-6471 Payment(s) <br /> CHECK 011094 258.76 <br /> OWNER <br /> CUMMINGS,DANIEL <br /> 865 WINDJAMMER LA <br /> MOUND,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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Pi /417- lb <br /> Applicant Permitee Signature Date Is Signature Date <br />