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� 1 <br /> CITY OF ORONO * 2 0 1 5 - 0 0 3 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2496 SANDSTONE LA <br /> PIN : 33-118-23-11-0023 <br /> LEGAL DESC : STONEBAY <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,079.00 <br /> NOTE: (1)RHEEM FURNACE <br /> (1)RHEEM A/C <br /> (1)KITCHEN EXHAUST-HOOD VENT <br /> (1)BATH FAN <br /> APPLICANT MECHANICAL 13 8.49 <br /> STATE SURCHARGE MECH(VALUATION) 5.54 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW TOTAL 146.03 <br /> ANDOVER,MN 55304 Payment(s) <br /> (763)754-4000 CHECK 46029 146.03 <br /> OWNER <br /> Wooddale Builders Inc. <br /> 6117 BLUE CREEK DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied wittt 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 /> 'fhe applicant is responsible for asswing 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 /> ' ��2t��_ 3 ,�, 1..� <br /> � ��� <br /> Applicant Permitee Signature Date Issue y Signature Date <br />