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CITY OF ORONO * 2 0 1 7 — 0 0 5 e e * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/3U2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2587 KELLY AVE <br /> PIN : 20-117-23-14-0021 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 004 BLOCK 005 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,368.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM HEATING SYSTEM-70,000 INPUT BTU'S,67,200 OUTPUT BTU'S <br /> (1)RHEEM A/C UNIT-2 TONS <br /> APPLICANT MECHANICAL 129.60 <br /> STATE SURCHARGE MECH(VALUATION) 5.18 <br /> TOTAL COMFORT MAIL-IN FEE 2.00 <br /> 8818 7TH AVE N <br /> GOLDEN VALLEY,MN 55427- TOTAL 136.78 <br /> (763)383-8383 Payment(s) <br /> Minnesota State License#:mech-MB003665 CREDIT CARD 4353 136.78 <br /> OWNER <br /> WARE,ALEXANDER <br /> 2587 KELLY AVE <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT A1vD 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � � `�"� ��l � l <br /> Applicant Permitee Signature � Date Issued ignature Date <br />