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* CITY OF ORONO <br /> * 2 0 1 5 - 0 0 4 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRi,�SS : 4166 HIGHWOOD RD <br /> PIN : 07-117-23-44-0027 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 033 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATIOI�T : $ 9,500.00 <br /> NOTE: 1 HEATING SYSTEM, l COOLING SYSTEM,ALL MAIN LEVEL DUCTWORK, 1 KITCHEN EXHAUST,4 BATH EXHAUSTS, 1 <br /> DRYER VENT, <br /> MAIN GAS LINE FOR FURNACE <br /> APPLICANT MECHANICAL 118.75 <br /> STATE SURCHARGE MECH(VALUATION) 4.75 <br /> PROFESSIONAL MECHANICAL SERVICES MpIL-IN FEE 2.00 <br /> 8851 E. RESEARCH CTR RD <br /> NEW HOPE, MN 55428- TOTAL 125.50 <br /> (763)657-7421 Payment(s) <br /> Minnesota State License#:mech-MB003767 CREDIT CARD 9795 125.50 <br /> OWNER <br /> Willow Creek Development <br /> P O BOX 4551 <br /> ST PAUL,MN 55104- <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 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 conformance with the State Building Code.This permit may be `, <br /> revoked at any time for due cause. ��� <br /> �� � , ���1 � / S <br /> � �;(.I �� l C�� � i/ i <br /> Applicant Permitee Signature ate Issued By Signature Date <br />