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CITY OF ORONO *I 11120 1 -10 Hill I0 L I II*i <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 870 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0015 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,508.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRYANT NATURAL GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 56.35 <br /> STATE SURCHARGE MECH(VALUATION) 2.25 <br /> HEATING&COOLING TWO INC. MAIL-1N FEE 2.00 <br /> 18550 COUNTY ROAD 81 TOTAL 60.60 <br /> MAPLE GROVE,MN 55369- <br /> (763)428-3677 Payment(s) <br /> Minnesota State License#:mech-MB003401,plbg-PC691106 CREDIT CARD 4334 60.60 <br /> OWNER <br /> WITHOFF,PETER&JANET <br /> 870 WILLOW 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 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 /> e3/14;41-LC4 <br /> Applicant Permitee Signature Date Issued By Signature Date <br />