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CITY OF ORONO !1� 1 � Ill ' l' I 1111I II <br /> 0 * <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 0 4 8 <br /> DATE ISSUED: 08/31/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1669 NORTH FARM RD <br /> PIN : 27-118-23-44-0008 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> ACTIVITY : 0/S GENERAL <br /> VALUATION : $ 1,950.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.98 <br /> METRO GAS INSTALLERS MAIL-IN FEE 0.00 <br /> 685 141ST LANE NW TOTAL 50.00 <br /> ANDOVER,MN 55304 <br /> (763)754-7119 Payment(s) <br /> Minnesota State License#:mech-MB003162 CHECK 16897 50.98 <br /> OWNER <br /> BEENDERS&PETER MONTGOMERIE,ANTOINETTE <br /> 1669 NORTH FARM RD <br /> LONG LAKE,MN 55356- <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 /> /, <br /> revoked at any time for d cause. <br /> / / <br /> Applic. t Permitee Signature Date Issued By Signature Date <br />