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CITY OF ORONO I I I I Till II III III IIII III III 1E1 <br /> 2750 KELLEY PARKWAY * 20 1 7 - 0 0 8 1 <br /> DATE ISSUED: 07/24/22 017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2601 WEST LAFAYETTE RD <br /> PIN : 21-117-23-21-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0131 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,200.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> TWO(2)BRYANT HF.A"MNG UNITS-MODEL 926J& 126B <br /> APPLICANT MECHANICAL 65.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.60 <br /> PRECISION HEATING&COOLING INC. MAIL-IN FEE 2.00 <br /> 3650 CHESTNUT ST.N <br /> CHASKA, MN 55318 TOTAL 69.60 <br /> (952)556-0187 Payment(s) <br /> CHECK 12701 69.60 <br /> OWNER <br /> BARBARA J BOWERS, DOUGLAS J OLSON& <br /> 2601 WEST LAFAYETTE RD <br /> EXCELSIOR,MN 55331- <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 /> 611A—CetAte.-101 *Plit 7 / 7 <br /> Applicant Permitee Signature Date Issued ignature Date <br />