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CITY OF ORONO 111111 11 1111 I I II 1111 I I I I 111111111 <br /> * 2015 - 01222 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 450 WOODHILL RD <br /> PIN : 02-117-23-42-0003 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: I REPLACEMENT HEATING SYSTEM(GOODMAN), I REPLACEMENT COOLING SYSTEM(GOODMAN) <br /> APPLICANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> BLUE OX HEATING&AIR MAIL-IN FEE 2.00 <br /> 5720 INTERNATIONAL PKWY <br /> NEW HOPE,MN 55428- TOTAL 119.00 <br /> (612)238-9709 Payment(s) <br /> Minnesota State License#:mech-MB671957 CREDIT CARD 0100 119.00 <br /> OWNER <br /> ROSENBERG,PETER&CECILIA <br /> 450 WOODHILL RD <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 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 ��Q <br /> requested in conformance with the State Building Code.This permit may be V 1.0 <br /> revoked at any time for due cause. <br /> r110:( (04 c-RI <br /> /a. <br /> Applicant Permitee Signature Date Issued BySignature Date <br /> PP g <br />