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CITY OF ORONO * Z 0 1 6 — 0 1 4 9 S * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 1ll30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2413 CARMAN ST <br /> PIN : 20-117-23-12-OOII <br /> LEGAL DESC : NAVARRE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHAN[CAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)GOODMAN NATURAL GAS FURNACE <br /> (1)HOT DAWG GARAGE HEATER <br /> (1)FUJITSU COOLING SYSTEM <br /> GASLINE FOR FIREPLACE AND GARAGE HEATER <br /> APPLICANT MECHANICAL 125.00 <br /> STATE SURCHARGE MECH(VALUATION) 5.00 <br /> LEGEND SERVICES, WC TOTAL 130.00 <br /> 201 N MEDINA ST Payment(s) <br /> P O BOX 382 CHECK 8190 130.00 <br /> LORETTO, MN 55357- <br /> (763)479-5002 <br /> Minnesota State License#: mech-MB005090 <br /> OWNER <br /> BLUTH, PETER <br /> 2413 CARMAN ST <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 E3uilding 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 /> requesred in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �.,cc� ����� �'l—3�—�� ^ l� l� l �� <br /> Applican P itee ignature Date Cssued B ignature Date <br />