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CITY OF ORONO * z 0 1 7 - 0 0 7 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/28/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2465 NORTH SHORE DR <br /> PIN : 09-117-23-44-0012 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL � <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 120,965.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. <br /> (2)NTI NATURAL GAS FURNACE <br /> (4)MITSUBISHI ELECTRIC HEATING SYSTEMS <br /> (2)MITSUBISHI A/C <br /> WOOD BURNIGN FIREPLACE <br /> (1)KITCHEN EXHAUST <br /> (6)BATH EXHAUST <br /> GASLINE FOR BOILERS,RANGE <br /> APPLICANT MECHANICAL 1,512.06 <br /> STATE SURCHARGE MECH(VALUATION) 60.48 <br /> SELECT MECHANICAL SERVICES 1NC. TOTAL 1,572.54 <br /> 6219 CAMBRIDGE ST Payment(s) <br /> ST. LOUIS PARK, MN 55416- CREDIT CARD 4447 1,572.54 <br /> (952)926-4488 <br /> Minnesota State License#: mech-MB003390 <br /> OWNER <br /> LINDAHL, B JOHN <br /> 2485 NORTH SHORE DRIVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis 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 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 /> i <br /> i <br /> � � ,�? g � /`7 <br /> Applicant Permitee Signature Date ssued B ignature Date <br />