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� � CITY OF ORONO * 2 0 1 7 - 0 0 3 z z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 � <br /> ADDRESS : 135 LUCE LINE RIDGE <br /> p�� : 31-118-23-34-0007 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (I)LUXAIRE NATURAL GAS FURNACE <br /> (1)LUXAIRE AlC UNIT-3 TON <br /> (1)BATH EXHAUST <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUAT[ON) 3.00 <br /> BEN SCHERER PLUMBING& HVAC INC. TOTAL 78.00 <br /> 4520 85TH STREET SE Payment(s) <br /> DELANO, MN 55328- CREDIT CARD 7621 78.00 <br /> (763)972-8137 <br /> Minnesota State License#:mech-MB003633,p1bg-PC648530 <br /> OWNER <br /> JOHNSRUD,MICHAEL&SUZANNE <br /> 135 LUCE LINE RIDGE <br /> MAPLE PLAIN, MN 55359- <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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> � � � S� �� <br /> Applicant Permitee ignature Date Issued B ignature Date <br />