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CITY OF ORONO II 11I <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 3 6 <br /> DATE ISSUED: 03/22/22 018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2215 KENWOOD WAY <br /> PIN : 17-117-23-44-0057 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,900.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM HEATING SYSTEM <br /> APPLICANT MECHANICAL 61.25 <br /> HOME ENERGY CENTER INC STATE SURCHARGE MECH(VALUATION) 2.45 <br /> 2415 ANNAPOLIS LANE N MAIL-IN FEE 2.00 <br /> SUITE#170 TOTAL 65.70 <br /> PLYMOUTH,MN 55441- Payment(s) <br /> Minnesota State License#:mech-MB003447 CHECK 89185 65.70 <br /> OWNER <br /> KUPKA,DAVID&LUANN <br /> 2215 KENWOOD WAY <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />