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t. <br /> a CITY OF ORONOI I I I I I I I I � I 1 l it <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 2 7 2 <br /> DATE ISSUED: 100/06/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 1-FURNACE,2-A/C,KITCHEN STOVE&GARAGE HTR <br /> APPLICANT MECHANICAL 118.75 <br /> AIR QUALITY SERVICES N. STATE SURCHARGE MECH(VALUATION) 4.75 <br /> 7900 EXCELSIOR BLVD TOTAL 123.50 <br /> SUITE#750 Payment(s) <br /> HOPKINS,MN 55343- CREDIT CARD 3185 123.50 <br /> (952)401-3838 <br /> Minnesota State License#:mech-M13003119 <br /> OWNER <br /> LITSEY,CAL&CHRISTINE <br /> 490 OLD LONG LAKE 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 tim for due ause. <br /> ioell l l <br /> . ltcant Pe firth tee S a e Date Issued By Signature Date <br />