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CITY OF ORONO * 2 0 1 7 - 0 0 0 4 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OUi8/2017 <br /> • ORONO,MN 5535Cr <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1122 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0026 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATIOI�i : $ 12,500.00 <br /> NOTE: ALL TESTMG REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW: 1-HEATMG SYSTEM(CARRIER)AND 1 AIR EXCHANGER&GAS LINES FOR:MAIN GAS LINE,DRYER AND RANGE <br /> APPLICANT MECHANICAL 156.25 <br /> STATE SURCHARGE MECH(VALUATION) 6.25 <br /> PATTON HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 589 SWAN LAKE LANE NW <br /> CEDAR,MN 55011- TOTAL 164.50 <br /> (763)4448567 Payment(s) <br /> Minnesota State License#:mech-MB005065 CREDIT CARD 3335 164.50 <br /> OWl�1ER <br /> BERGH,HANS&SHARON <br /> 905 WILLOW VIEW DR <br /> LONG LAKE,MN 55356- <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 Ciry 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 /> permiu. 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. l�/!n <br /> �lFf �� <br /> � <br /> ( Ou���� � � �..��.�t�: 1 , l�; � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />