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r � <br /> - CITY OF ORONO * 2 0 1 6 - 0 1 5 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 1245 SIXTH AVE N <br /> PIN : 26-118-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.291 <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTI01�1 TYPE : HEATING SYSTEMS <br /> VALUATION : $ 16,875.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)NTI NATURAL GAS FURNACE <br /> 4"FLUE <br /> 250,000 INPUT <br /> 235,000 OUTPUT <br /> APPLICANT MECHANICAL 210.94 <br /> STATE SURCHARGE MECH(VALUATION) 8.44 <br /> SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- TOTAL 221.38 <br /> (952)926-4488 Payment(s) <br /> Minnesota State License#:mech-MB003390 CHECK 4265 22138 <br /> OWNER <br /> HOGAN,JOHN&KIMBERLY <br /> 1245 SIXTH AVE N <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> � /�� � �`C� �J <br /> C�(.c�C�e-l�- � / <br /> Applicant er►nitee Signature Date Issued By gnature Date <br />