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CITY OF ORONO I L' ' !L 2750 KELLEY PARKWAY * 2 0 3 95 <br /> DATE ISSUED: 04/0212018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX (952)249-4616 <br /> ADDRESS : 760 DICKEY LAKE DR <br /> PIN : 27-118-23-33-0009 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,885.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)SLANT/FIN CHS175,NAT GAS BOILER <br /> APPLICANT MECHANICAL 50.00 <br /> CITY VIEW PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 1.94 <br /> 1880-B WAYZATA BLVD W TOTAL 51.94 <br /> P.O.BOX 150 Payment(s) <br /> LONG LAKE,MN 55356 CHECK 37755 51.94 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> THOMAS,ABRAHAM <br /> 9619 ALLSBROOKE DRIVE <br /> RALEIGH,NC <br /> , 27613- <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 /> revo -' at any time for due cause. <br /> /� I� ill , .�:_, /ii. IT <br /> Applicant Permitee Signature ate Issued y Signature Date <br />