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CITY OF ORONO I IIIIII IIIIi lllil lllll llll llllll lllll lllll lllll lllll llll llll <br /> * Z 0 1 4 — 0 1 2 5 0 * <br />� ' 2750 KELLEY PARKWAY pATE 1ssuEn: 10/27/2014 <br /> ORONO, MN 5�356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 110 CHEVY CHASE DR <br /> PIIV : 36-118-23-41-0046 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 012 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 10,899.00 <br /> NOTE: BRYANT HEATING&AIR <br /> APPLICANT MECHANICAL 136.24 <br /> STATE SURCHARGE MECH(VALUATION) 5.45 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIWE,MN 55346- TOTAL 143.69 <br /> (952)835-7777 Payment(s) <br /> CHECK 143.69 143.69 <br /> OWNER <br /> HIGGINS, KENNETH&LAURA <br /> ]]0 CHEVY CHASE DR <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 rela[ed 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 afrer 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 anv time for due cause. <br /> �--�� � � l� l � 5� �� � <br /> Applicant Permitee Signature Date Issued f Signature Date <br />