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, � CITY OF ORONO * z 0 1 5 - 0 0 9 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS , : 945 FOREST ARMS LA <br /> PIN : 07-117-23-12-0019 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,700.00 <br /> NOTE: (1)CARRIER FURNACE <br /> (1)NATURAL GAS BOILER <br /> (1)CARRIER A/C UNIT <br /> (I)KITCHEN ECHAUST <br /> (3)BATH EXHAUST <br /> GASLINE TO RANGE AND FIREPLACE <br /> APPLICANT MECHANICAL 158.75 <br /> STATE SURCHARGE MECH(VALUATION) 6.35 <br /> WEST METRO MECHANICAL TOTAL 165.10 <br /> 220 FRANKLIN ST <br /> NORWOOD YOUNG AMERICA, MN 55368- Payment(s) <br /> Minnesota State License#: mech-684939 CREDIT CARD 8702 165.10 <br /> OWNER <br /> EATON, BOB&JENNIFER <br /> 2721 COMSTOCK LA N <br /> PLYMOUTH, MN 55447- <br /> AGREEMEIYT 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 rela[ed work which requires sepazate <br /> permits. All provisions of laws and ordinances governing[his 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 cons[ruction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��� �'�-�.,,Qi -��� �7 �oz 7�/S <br /> Applicant Permitee Signature Date Is ed Signature Date <br />