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� � CITY OF ORONO * Z 0 1 6 - 0 0 0 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 980 FERNDALE RD W <br /> PIN : 02-117-23-44-0019 <br /> LEGAL DESC : COUNTRY CLUB ESTATES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE <br /> VALUATION : $ 15,000.00 <br /> NOTE: (2)LENNOX FURNACES <br /> (2)LENNOX A/C UNITS <br /> APPLICANT MECHANICAL 187.50 <br /> STATE SURCHARGE MECH(VALUATION) 7.50 <br /> GOLDEN VALLEY HEATING&AIR MAIL-IN FEE 2.00 <br /> 5182 WEST BROADWAY <br /> CRYSTAL,MN 55429- TOTAL 197.00 <br /> (612)535-2000 Payment(s) <br /> CREDIT CARD 7420 197.00 <br /> OWNER <br /> WANG, EDWARD <br /> 980 FERNDALE RD W <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> Ihe 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 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 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> o �' l � ��� �� <br /> Applicant Permitee Signature Date Issued B 'gnature Date <br />