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CITY OF ORONO I 1111111111U <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 1 5 6 <br /> DATE ISSUED: 11/30/2 <br /> 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 4 it <br /> ADDRESS : 1387 ORONO LA <br /> PIN : 02-117-23-34-0004 <br /> LEGAL DESC : HOMES ON BROWNS BAY <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,400.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)AMANA HEATING SYSTEM-120,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.70 <br /> NORTHERN HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 9431 ALPINE DR <br /> RAMSEY,MN 55303 TOTAL 53.70 <br /> (763)323-7597 Payment(s) <br /> CHECK 25759 53.70 <br /> OWNER <br /> MOEN,CRAIG <br /> 1387 ORONO LA <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 /> i 1: l l Iry <br /> C /� <br /> Applicant Permitee Signature Date Issued By Si+ature Date <br />