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" ' CITY OF ORONO * 2 0 1 6 - 0 0 0 z 0 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: O1/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1170 GARDEN CT <br /> PIN : 07-117-23-24-0048 <br /> LEGAL DESC : WILDHURST WOODS/2 <br /> : LOT 002 BLOCK 001 \ <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,200.00 <br /> NOTE: REPLACE HEATING SYSTEM(MODINE) <br /> APPLICAl�1T MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.10 <br /> KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE, MN 55347- TOTAL 53.10 <br /> Minnesota State License#: mech-658861,p1bg-PC646240 Payment(s) <br /> CHECK 13114 53.10 <br /> OWNER <br /> SUTTON, THOMAS&JANE <br /> 1 170 GARDEN CT <br /> MOUND, MN 55364- <br /> AGREEMENT AIYD 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 goveming 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 I 80 days at any time after work has commenced. <br /> The applican[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 /> ��� � ,�l�; /'�� � �{��� ��( f, <br /> k,�_( �._,�;1 <.�;'L� �� ,�- �� ! _ � � r-.___. <br /> Applicant Permitee Signature Date Issued By Signature Date � <br />