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f CITY OF ORONO * z 0 1 5 — 0 0 3 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-11-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,435.00 <br /> NOTE: (1)FURNACE <br /> (1)A/C <br /> (1)KITCHEN EXHAUST-HOODNENT <br /> (1)BATH EXHAUST <br /> APPLICANT MECHANICAL 117.94 <br /> STATE SURCHARGE MECH(VALUATION) 4.72 <br /> RICCAR HEATING&AIR COND INC. N1,4IL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER,MN 55304 TOTAL 124.66 <br /> (763)754-4000 Payment(s) <br /> CHECK 46027 124.66 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <br /> AGREEMENT AND SWORI�I 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. 1'his pertnit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 conswction 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 conforrrtance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� � 3 �o ��s' <br /> Applicant Permitee Signature Date Iss By Signature Date <br />