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CITY OF ORONO * 2017 - 00884 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4111 OAK ST <br /> PIN 06-117-23-41-0094 <br /> LEGAL DESC MINNETONKA SUMMIT PARK <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 7,411.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRYANT NATURAL GAS FURNACE <br /> (1)BRYANT A/C-2.5 TONS <br /> APPLICANT MECHANICAL 92.64 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 3.71 <br /> 130 PLYMOUTH AVENUE N. MAIL-IN FEE 2.00 <br /> MINNEAPOLIS,MN 55411- TOTAL 98.35 <br /> 612-824-2656 Payment(s) <br /> CHECK 54403 98.35 <br /> OWNER <br /> SIEGEL, MR.&MRS.DAVID <br /> 4111 OAK ST <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 /> 4;� - /1?0 /,7 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />