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CITY OF ORONO * Z 0 1 5 — 0 0 1 9 6 * <br /> �. 2750 KELLEY PARKWAY nATE [ssUEn: 02/13/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2414 CARMAN ST <br /> PIN : 20-117-23-12-0064 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,900.00 <br /> NOTF: 1 HEATING SYSTEM, 1 COOLING SYSTEM <br /> APPL[CANT MECHANICAL 13625 <br /> STATE SURCHARGE MECH(VALUATION) 5.45 <br /> CENTER POINT ENERGY MINNEGASCO MAIL-[N FEE 2.00 <br /> 9320 EVERGREEN BLVD NW TOTAL 143.70 <br /> SUITE B <br /> COON RAPIDS, MN 55433 Payment(s) <br /> (763)757-6202 <br /> CHECK 19188 143.70 <br /> Minnesota State License#: mech-003503 <br /> OWNER <br /> MERZ,MARCUS <br /> 2414 CARMAN STREET <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 specitications,applicable City approvals,and the <br /> Sta[e 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 typc of work <br /> shall be compied with whether or no[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 I 80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring ail 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 /> Z / � � �� <br /> � �� ��-��� ���� � � <br /> Applicant Permite Signature Date Issued By Signature Date <br />