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CITY OF ORONO * 2 0 1 7 - 0 1 5 0 4 * <br /> � �' 2750 KELLEY PARKWAY <br /> DATE ISSUED: 1ll15/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1225 SHORELINE DR <br /> PIN : 02-117-23-34-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 169 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)HOT DAWG NATURAL GAS HEATING SYSTEM <br /> GASLINE FOR UNIT HEATER-CRAWL SPACE/ATTIC <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> PRACTICAL SYSTEMS MAIL-IN FEE 2.00 <br /> 4342B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 53.25 <br /> (952)933-1868 Payment(s) <br /> Minnesota State License#:mech-MB003510 CREDIT CARD 0097 53.25 <br /> OWNER <br /> DAYTON,ELISABETH <br /> 1225 SHORELINE 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 goveming this type of work <br /> shall be compied with whether or not specified herein.l'his permit will <br /> expire and become null and void if construction suthorized 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 /> 1'he 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 /> . <br /> l / /�// / <br /> Applicant Permitee S gnature Date Issued By Si ature Date <br />