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Cl'1'Y OF ORONO * 2 0 1 5 - 0 1 0 7 6 * <br /> r 7 2'750 KELLEY PARKWAY DATE ISSUED: 08/24/2015 <br /> � 0120N0,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2499 KELLY AV� <br /> PIN : 20-117-23-12-0052 <br /> LEGAL DESC : KELLY COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYST�MS <br /> VALUATION : $ 9,100.00 <br /> NOTE: 1 HEATING SYSTEM(BRYANT)& 1 COOLING SYS'CEM(BRYANT) <br /> APPLICANT MECHANICAL 113.75 <br /> STATE SURCHARGE MECH(VALUATION) 4.55 <br /> DUCTWORKS HEATING AND AIR MAIL-IN FEE 2.00 <br /> 6108 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY,MN 55422- TOTAL 120.30 <br /> (763)521-0070 Payment(s) <br /> Minnesota State License#:mech-MB003589 CHECK 001053 12030 <br /> OWNER <br /> PLEWKA&ROBIN DODSON,MARK <br /> 2499 KELLY AVE <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accorciing u� <br /> the approved plans and specifications,applicable City approvals,and U,e <br /> State Building Code. This pertnit is for only the work described and doc, <br /> not grant permission for additional or related work which requires separ,.�e <br /> permits. All provisions of laws and ordinances governing this type of w<�rk <br /> shall be compied with whether or not specified herein.This permit wili <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 commenccd. <br /> The applicant 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 /> � ; <br /> � ,,� � � <br /> . <br /> . I � c.t.i Le�-�I ��G�-�- �-e-��l� � i��f i � S <br /> A p plicant Permrtee Signature Date Issued By Signatur Date <br />