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CITY OF ORONO * 2 0 1 7 - a 0 5 1 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3295 CARMAN RD <br /> PIN : 20-117-23-14-0014 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 8,435.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE:BOILER SYSTEM(NYTHERMAL) <br /> , <br /> APPLICANT MECHANICAL 105.44 <br /> STATE SURCHARGE MECH(VALUATION) 4.22 <br /> SELECT MECHANICAL SERVICES INC. <br /> 6219 CAMBRIDGE ST TOTAL 109.66 <br /> ST.LOUIS PARK,MN 55416- Payment(s) <br /> (952)926-4488 , CREDIT CARD 4447 109.66 <br /> Minnesota State License#:mech-MB003390 <br /> OWNER <br /> DIEBEL,JAMES&DEVON <br /> 3295 CARMAN RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable Ciry 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 Iaws 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 assuring all required inspections aze <br /> requested in conformance wi the State Building Code.This permit may be <br /> revoked at time fo ue c se. J`., <br /> ._.,_ d,/J <br /> � S /� /� � �c� �.�z`f� �� / 7 � <br /> Applicant Permi ee ignature ate Issued By Signature Date <br />