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CITY OF ORONO * Z 0 1 6 - 0 1 5 6 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3575 CHRISTINE DR <br /> PIN : OS-117-23-12-0018 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 18,522.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE: 1 HEATING SYSTEM(BRYANT)AND 2 COOLING SYSTEMS(BRYANT) <br /> APPLICANT MECHANICAL 231.53 <br /> STATE SURCHARGE MECH(VALUATION) 926 <br /> COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00 <br /> 11238 RIVER ROAD NE <br /> HANOVER, MN 55341- TOTAL 242.79 <br /> (763)208-6471 Payment(s) <br /> CREDIT CARD 3152 242.79 <br /> OWNER <br /> HAASE, WILLIAM <br /> 3575 CHRISTINE DR <br /> MAPLE PLAIN, MN 55359- <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 /> shail 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 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> � � � l`� � �_' � --E 1 � �� L �� ���,�L � �� ���' i � <br /> � �'� �I � :` � �� � / / � �' <br /> Applicant Permitee Signature Date Issued By Signature Date <br />