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' ' CITY OF ORONO * 2 0 1 6 - 0 0 9 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 525 KEENE AVE <br /> PIN : 02-117-23-31-0027 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK O15 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. <br /> (1)BRYANT FURNACE <br /> (1)BRYANT A/C <br /> (1)KITCHEN EXHAUST-300 CFM <br /> (6)BATH EXHAUST-380 CFM <br /> OTHER FANS-HRV 200 200 CFM <br /> GAS FACTORY FIREPLACE <br /> j. <br /> APPLICANT MECHAMCAL 150.00 <br /> STATE SURCHARGE MECH(VALUATION) 6.00 <br /> LARSON PLUMBING INC. TOTAL 156.00 <br /> 3095 162ND LANE NW Payment(s) <br /> ANDOVER,MN 55304 CHECK 30902 156.00 <br /> (763)427-7680 <br /> Minnesota State License#:plbg-0841699 <br /> OWNER <br /> H&J Development Prtnrshp <br /> DETTLOFF,HB&JC <br /> 1001 TWELVE OAKS CENTER DR#10 <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 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 as uring all required inspections are <br /> requested in conformance wit e te Building Code.This permit may be <br /> revoked at any time fo se , <br /> 6 rL �y i -l�i <br /> Appli Permitee S' ature ate Issued Signature Date <br />