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CITY OF ORONO * 2017 - 01280 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2600 THOROUGHBRED LA <br /> PIN : 04-117-23-11-0017 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> SWIMMING POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.40 <br /> ALL SYSTEMS MECHANICAL,LLC. MAIL-IN FEE 2.00 <br /> 2282 TERMINAL ROAD <br /> TOTAL 52.40 <br /> ROSEVILLE,MN 55113- <br /> Payment(s) <br /> (651)493-7364 <br /> Minnesota State License#:mech-MB005262 CHECK 19579 52.40 <br /> OWNER <br /> LINK,DAVID&KELLY <br /> 2600 THOROUGHBRED LA <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 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 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 /> Applicant Permitee Signature Date 41ssujfBy�Signature Date <br />