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, . CITY OF ORONO * z 0 1 4 - a 1 1 6 2 * <br /> 27�0 KELLEY PARKWAY DATE ISSUED: 10/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1438 BALDUR PARK RD <br /> PIN : 08-117-23-34-0059 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$S00) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,200.00 <br /> NOTG: 1 TRANE NAT GAS& 1 TRANE 2-1/2 TON COOLING UNIT <br /> APPLICANT MECHANICAL 77.50 <br /> STATE SURCHARGE MECH (VALUATION) 5.00 <br /> RAY N. WELTER HEATING CO MAIL-IN FEE 2.00 <br /> 4637 CHICAGO AVE <br /> MINNBAPOLIS, MN 55407- TOTAL 84.50 <br /> (612) 825-6867 Payment(s) <br /> 84.50 <br /> OWNER <br /> TRUST, THE HELI ROTH <br /> 1428 BALDUR PARK 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 specitied 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 applican(is responsible for assurin,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 /> �=� �,.-� <br /> � (�r�-�,.�- � C G � � �lc.� <br /> Applicant Permitee Sionature Date Issued By Signature Date <br />