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� CITY OF ORONO * z 0 1 5 - 0 1 5 z 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2601 CASCO POINT RD <br /> PIN : 20-117-23-24-0036 <br /> LEGAL DESC : WINSHIPS SUBD LOT 1 SPRING PK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 8,686.00 <br /> NOTE: (1)NEW BRYANT NATURAL GAS FURNACE <br /> APPLICAI�IT MECHANICAL 108.58 <br /> STATE SURCHARGE MECH(VALUATION) 4.34 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS, MN 55411- TOTAL 114.92 <br /> 612-824-2656 Payment(s) <br /> CHECK 50177 114.92 <br /> OWNER <br /> HEDBLOM, BRUCE&CAROL <br /> 2601 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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. A((provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin l80 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 /> �' ���� / i i /.5� <br /> Applicant Permitee Signature Date Issue y Signature Date <br />