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CITY OF ORONO I I I I I I I II I I I I 11111 <br /> * 20 1 7 - 0 1 629 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2870 GOLDENROD WAY <br /> PIN : 33-118-23-24-0045 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 15 BLOCK 4 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,120.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRYANT NATURAL GAS HEATING SYSTEM <br /> (1)BRYANT A/C UNIT-4 TONS <br /> (1)KITCHEN EXHAUST DUCT 300CFM <br /> (5)BATH EXHAUST 70 CFM <br /> APPLICANT MECHANICAL 151.50 <br /> STATE SURCHARGE MECH(VALUATION) 6.06 <br /> SABRE PLUMBING&HEATING MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447- TOTAL 159.56 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 159.56 <br /> OWNER <br /> OP5 Orono LLC <br /> 15250 WAYZATA BLVD#101 <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 due cause. <br /> /1qf,C,�„Q�X n /1 Ig / /g / /7 <br /> Applicant Permitee Signature Date Iss By Signature Date <br />