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' IIIE <br /> CITY OF ORONO �I ill 11 1 <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 4 <br /> DATE ISSUED: 04/09/22 011 <br /> 8 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2500 DUNWOODY AVE <br /> PIN : 20-117-23-21-0019 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 003 BLOCK 007 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM HEATING SYSTEM <br /> (1)RHEEM COOLING SYSTEM <br /> APPLICANT MECHANICAL 106.25 <br /> TOTAL COMFORT STATE SURCHARGE MECH(VALUATION) 4.25 <br /> 8818 7TH AVE N TOTAL 110.50 <br /> GOLDEN VALLEY,MN 55427- <br /> Payment(s) <br /> (763)383-8383 CHECK 5997 110.50 <br /> Minnesota State License#:mech-MB003665 <br /> OWNER <br /> ROSHOLT,JACOB&DEBRA <br /> 2500 DUNWOODY AVE <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 /> Walla)lld1ik 9 / / • <br /> Applicant Permitee Signature Date Issued B ignature Date <br />