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" � CITY OF ORONO <br /> * 2 0 1 6 - 0 1 4 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U17/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 SPATES AVE <br /> PIN : 10-117-23-31-0090 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAMCAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 23,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX FURNACE <br /> (1)LENNOX A/C <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> GASL[NE TO MAIN,FURNACE,DRYER, WATER HEATER AND RANGE <br /> APPLICANT MECHANICAL 293.75 <br /> STATE SURCHARGE MECH(VALUATION) 11.75 <br /> MIDLAND HEATING&AIR CONDITIONING TOTAL 305.50 <br /> 413 W 60TH STREET Payment(s) <br /> MINNEAPOLIS,MN 55419- CREDIT CARD 4581 305.50 <br /> (612)869-3213 <br /> Minnesota State License#:mech-MB699330 <br /> OWNER <br /> DAMMEN, SUSAN <br /> 2040 SPATES AVE <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 does <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.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 1 SO 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 /> ��`�/ � � �{, � � /� //7 / /-h <br /> ' nt Permitee Signature Date Issued By ' nature Date <br />