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' - CITY OF ORONO * z 0 1 6 - 0 1 1 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 8 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 53,875.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)LENNOX FURNACE <br /> (2)LENNOX A/C LJNITS <br /> (8)FANS <br /> GASL[NE TO MAIN,FIURNACE,RANGE,DRYER,FIREPLACE,OUTDOOR GRILL <br /> APPLICANT MECHAN[CAL 673.44 <br /> STATE SURCHARGE MECH(VALUATION) 26.94 <br /> SEDGWICK HEATING&A/C MAIL-IN FEE 2.00 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS, MN 55118- TOTAL 702.38 <br /> (952) 881-9000 Payment(s) <br /> CHECK 17005 702.38 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 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 180 days at any time after work has commenced. <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 /> "��� ��e �, D � � <br /> � <br /> Applicant Permitee Signature Date ssued 'gnature Date <br />