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� CITY OF ORONO * 2 0 1 6 - 0 1 4 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U28/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2480 CASCO PO[NT RD <br /> PIN : 20-117-23-21-0037 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 35,800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW HEATING SYSTEM(BOILER)(LOCHINVAR KNIGHT) <br /> APPLICANT MECHANICAL 447.50 <br /> STATE SURCHARGE MECH(VALUATION) 17.90 <br /> HOSS PLUMBING LLC TOTAL 465.40 <br /> 3405 ERIK AVE SW <br /> WAVERLY, MN 55390- Payment(s) <br /> (612)290-1368 CREDIT CARD 7157 465.40 <br /> Minnesota State License#: plbg-PC668034 <br /> OWNER <br /> RUDOLPH, STEPHEN& SUSAN <br /> 2480 CASCO PT RD <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 separate <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 nuil 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 confo with the ate Building Code.This permit may be � <br /> revoked at a r due caus � � <br /> ( � <br /> ��� ��.�'~l iJ� �i ; ��C�T'�U l( � z-� /,6 <br /> �Appl�cant Permite ignatu Date Issued By Signatur Date <br />