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11 <br /> • CITY OF ORONO �I 1 ! '� � ' !� I II <br /> 2750 KELLEY PARKWAY * 20 1 7 - 0 1 6 5 3 <br /> DATE ISSUED: 12/26/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 50 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0006 <br /> LEGAL DESC : REG.LAND SURVEY NO. 0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 16,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (3)GOODMAN-80,000 BTU- 1200CFM HEATING <br /> (3)GOODMAN-COOLING 21/2 <br /> • <br /> APPLICANT MECHANICAL 200.00 <br /> STATE SURCHARGE MECH(VALUATION) 8.00 <br /> A&A HEATING AND AIR INC MAIL-IN FEE 0.00 <br /> 1206 5TH AVE S <br /> BUFFALO,MN 55313- TOTAL 208.00 <br /> (612)220-8978 Payment(s) <br /> Minnesota State License#:mech-MB723820 CHECK 208.00 <br /> OWNER <br /> HUSKIES LLC,ADAM&KELLY <br /> 50 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <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 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 du cause. <br /> c a <br /> it, ` or Ntsb 12 ,i , 11 <br /> Applicant Permitee Signature Date ssuegfl By Signature Date <br />