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' CITY OF ORONO * Z 0 1 6 - PJ 1 2 3 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1240 ARBOR ST <br /> PIN : 10-117-23-31-0099 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,500.00 <br /> NOTE: ALL TEST[NG RF.PORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> FURANCE,A/C,AIR EXCHANGER,GASLINE TO FURNACE,FIREPLACE,DRYER VENT,3 BATH FANS,DUCTWORK,HUMIDIFIER, <br /> GASLINE TO STOVE,DRYGR <br /> APPL[CANT MECHANICAL 143.75 <br /> STATE SURCHARGE MECH(VALUATION) 5.75 <br /> HEATING&COOLING DESIGN INC TOTAL 149.50 <br /> 1010 118TH AVENUE <br /> BLAINE, MN 55434- Payment(s) <br /> CHECK 5037 149.50 <br /> (763)291-8519 <br /> OWIYER <br /> DRUK,TIMOTHY&JULIE <br /> 4308 1 15TH STREET SE <br /> DELANO, MN 55328- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis 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 pennission for additional or related work�vhich requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shail 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 l80 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 respansible 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 /> � `�'�/ �U � � /`� <br /> Applic Permitee gnature Date Issued Signature Date <br />