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, •, CITY OF ORONO * 2 0 1 6 - 0 1 5 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2790 SILVER VIEW DR <br /> PIN : 33-118-23-42-0002 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,895.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)MODINE FURNACE ` <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.95 <br /> HIGH ROAD HEATING&COOLING CO MAIL-IN FEE 2.00 <br /> 6650 WINDFIELD CIRCLE N <br /> ROCKFORD,MN 55373- TOTAL 52.95 <br /> (763)477-3331 Payment(s) <br /> Minnesota State License#:mech-MB04749 CREDIT CARD 9887 52.95 <br /> OWNER <br /> MOHS,JIM&PAIGE <br /> 2790 SILVER 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 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 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 /> � - <br /> � ) � � /�--� /� �/(� <br /> Applicant Permitee Signature Date Issued Signature Date <br />