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CITY OF ORONO * 2 0 1 6 - 0 1 2 0 4 * <br /> w 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2016 <br /> , ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 14,800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW:2 HEATING SYSTEMS(LUXAIRE&LARS), 1 COOLING(LUTAIRE),3 BATH EXHAUSTS, 1 GAS LINE FOR FURNACE&BOILER <br /> APPLICANT MECHANICAL 185.00 <br /> STATE SURCHARGE MECH(VALUATION) 7.40 <br /> CRAIG'S HEATING&A/C TOTAL 192.40 <br /> 2196 285TH AVENLTE Payment(s) <br /> ISANTI,MN 55040- CREDIT CARD 6642 192.40 <br /> (763)286-3570 <br /> Minnesota State License#:BUIL-MB004495 <br /> OWNER <br /> RUCINSKI,MICHEAL&HOLLY <br /> 3188 NORTH SHORE DR <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 dces <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 /> 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 aRer work has commenced. <br /> The applicant is responsibie 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. n� <br /> ��C/ <br /> � ����17-l6 �� ��-c,e--T'�Z� �Z7� / <br /> Applicant Permitee Signature Date Issued SyB ►�'gnature Date <br />