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CITY OF ORONO � 111U 1 II I 1 1 I* 2I � l 11II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 585 ORCHARD PARK RD <br /> PIN : 31-118-23-14-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 17,230.50 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM FURNACE <br /> (1)RHEEM A/C <br /> (1)KITCHEN EXHAUST <br /> (6)BATH EXHAUST <br /> (1)DRYER VENT <br /> GASLINE TO FIREPLACE AND STOVE <br /> APPLICANT MECHANICAL 215.37 <br /> STATE SURCHARGE MECH(VALUATION) 8.61 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER,MN 55304 TOTAL 225.98 <br /> (763)754-4000 Payment(s) <br /> Minnesota State License#:mech-MB003474 CHECK 46811 225.98 <br /> OWNER <br /> THOMAS,DONALL&HENRIETA <br /> 585 ORCHARD PARK RD <br /> LONG LAKE,MN 55356- <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 /> C'14/1--6"J--e-'Cep /69- <br /> k) // , (21, / , <br /> Applicant Permitee Signature Date Issued B gnature Date <br />