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CITY OF ORONO * Z 0 1 5 — 0 0 5 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 <br /> . ORONO, MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3770 BAYSIDE RD <br /> PIN : OS-117-23-24-0121 <br /> LEGAL DESC : OTTOVILLE ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�1 TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,228.00 <br /> APPLICANT MECHAMCAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.61 <br /> CITY VIEW PLUMBING&HEATING <br /> 1880 WAYZATA BLVD W TOTAL 51.61 <br /> P.O. BOX 150 Payment(s) <br /> LONG LAKE,MN 55356 CHECK 35301 51.61 <br /> (952)473-8793 <br /> Minnesota State License#: plbg-MB005208 <br /> OWNER <br /> STEPHENS, WINFIELD <br /> 3770 BAYSIDE 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 no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance wi[h[he State Building Code.This permit may be <br /> rev�t any time for due cause. <br /> , _ /�`> <br /> ) _ - <br /> � � <br /> � / ,�.�.__— - � �f j " d► ��c-- l. l C'�Y1 C.� v7 .> � �� / �� <br /> ' ant Permitee Signature Date Issued By Signature Date <br />