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, , CITY OF ORONO * 2 0 1 6 - 0 1 3 8� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1695 FOX ST <br /> PIN : 03-117-23-44-0003 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 29,600.00 <br /> NOTE: ALL TGSTING REPORTS SHALL BE ON SITE A7'FINAL INSPECTION. <br /> (2)TRINITY FURNACES <br /> (1)aRYANT A/C-2 TON <br /> APPLICAIYT MECHANICAL 370.00 <br /> STATE SURCHARGE MECH(VALUATION) 14.80 <br /> ANGELL AIRE INC. MAIL-IN FEE 2.00 <br /> 12253 NICOLLET AVE <br /> BURNSVILLE, MN 55337 TOTAL 386.80 <br /> (952)746-5200 Payment(s) <br /> Minnesota State License#: mech-MB003386 CHECK I 1341 386.80 <br /> OWNER <br /> CATHCART, MR.RICHARD <br /> 1290 WAGGLE WAY <br /> NAPLES, FL 34108- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 ofwork <br /> shall be compied with�vhether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construetion 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 /> requcsted in conformance with the State Building Code.This permit may bc <br /> revoked at any time Yor due cause. <br /> � <br /> � � /-� I � lD �� l ��fo <br /> Applicant Permitee Signature Date Issued y Signature Date <br />