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' `-` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 3 3 8 * <br /> DATE ISSUED: 10/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 650 NORTH ARM DR <br /> PIN : 06-117-23-43-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.362 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�1STRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> WATER HEATER REPLACEMENT <br /> APPLICANT MECHANICAL 50.00 <br /> LEGACY MECHANICAL SERVICES STATE SURCHARGE MECH(VALUATION) 0.75 <br /> 114 THOMAS CIRCLE#106 MAIL-IN FEE 2.00 <br /> MONTICELLO,MN 55362- TOTAL 52.75 <br /> (763)3140877 Payment(s) <br /> CHECK 8262 52.75 <br /> OWNER <br /> SCHOONOVER,JEFFREY BRAUCHLE&ELISA <br /> 650 NORTH ARM DR <br /> MOLTND,MN 55364 <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 dces <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 conskvction 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 confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. -- <br /> ��L � �O / GY'/ � <br /> Applicant itee Signature Date Iss d By ature Date <br />