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• CITY OF ORONO * Z 0 1 6 - PJ 0 0 3 � <br /> '� 2750 KELLEY PARKWAY DATE ISSUED: O1/1 U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AUDRESS : 455 FERNDALE RD N <br /> PIN : 36-118-23-14-0013 <br /> LEGAL DESC : HAUSER LAUER WCC ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,978.00 <br /> NOTE: REPLACE HEATING SYSTEM(BRYANT) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.99 <br /> STANDARD HEATING&AIR CONDITIONING MA[L-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS, MN 55411- TOTAL 53.99 <br /> 612-824-2656 Payment(s) <br /> CHECK 50399 53.99 <br /> OWNER <br /> JUANG,ANDY&GRACE <br /> 455 FERNDALE RD N <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 addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 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 /> � � .� � � _� �f � � , . ,(�) � �_. <br /> 7 � �;._ � _ . - _ i` ,,�� �;('� - . ) .I �t__�{ S l� � � � � � � I- <br /> Applicant Permitee Signature Date � Issued By Signature Date <br />