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CITY OF ORONO <br /> * 2016 - 00063 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 205 NORTHGATE RD <br /> PIN : 36-118-23-44-0016 <br /> LEGAL DESC : NORTHGATE TWO <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,596.00 <br /> NOTE: (1)BRYANT FURNACE-NATURAL GAS-3"FLUE, 100,000 INPUT,96,000 OUTPUT <br /> (1)A/C UNIT-4 TON <br /> APPLICANT MECHANICAL 157.45 <br /> SABRE HEATING&AIR COND INC. <br /> STATE SURCHARGE MECH(VALUATION) 6.30 15535 MEDINA ROAD MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 165.75 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 9764 165.75 <br /> OWNER <br /> ARNOLD,JOAN L <br /> 205 NORTHGATE RD <br /> WAYZATA,NIN 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 /> �m �- "-) <br /> Applicant Permitee Signature Date Issued PTgnature Date <br />