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� , <br /> CITY OF ORONO * z 0 1 7 - 0 1 1 5 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2685 RAINEY RD <br /> PIN : 04-117-23-43-0013 <br /> LEGAL DESC : TREES TO BE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 21,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)DAIKIN HEATING SYSTEMS <br /> (1)HRV LIFEBREATH HEATING SYSTEM <br /> (2)DAIKIN COOLING SYSTEMS <br /> APPLICANT MECHANICAL 262.50 <br /> CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 10.50 <br /> 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 <br /> BUILDING A TOTAL 275.00 <br /> GOLDEN VALLEY,MN 55422- Payment(s) <br /> (763)512-2765 CHECK 21210 275.00 <br /> Minnesota State License#:mech-MB003503 <br /> OWNER <br /> VICKERMAN, SCOTT&SUSAN <br /> 2685 RAINEY RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 /> shall be compied with whether or not speci6ed herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> I' r <br /> � / / <br /> Applicant Permitee Signature Date Issued y Si ature Date <br />