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� CITY OF ORONO * z 0 1 5 - 0 1 0 4 3 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2450 COBBLESTONE CT <br /> PIN : 33-118-23-11-0082 <br /> LEGAL DESC : STONEBAY SIXTH ADD[TION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> VAL[1ATION : $ 13,215.00 <br /> NOTE: 1 HEATING SYSTEM(RHEEM), 1 COOLING SYSTEM(RHEEM),VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUSTS& 1 <br /> DRYER VENT, <br /> 1 GAS L[NE MAIN <br /> APPLICANT MECHANICAL 165.19 <br /> STATE SURCHARGE MECH(VALUATION) 6.61 <br /> RICCAR HEAT[NG&AIR COND INC. MA[L-[N FEE 2.00 <br /> 2387 STAT[ON PKWY NW <br /> ANDOVER, MN 55304 TOTAL 173.80 <br /> (763)754-4000 Payment(s) <br /> Minnesota State License#: mech-MB003474 CHECK 46212 173.80 <br /> OWI�ER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA, MN 55343- <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 Ciry approvals,and the <br /> State Building Code. This permit is for only[he 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 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 f�,, <br /> revoked at any time for due cause. J�,`�J <br /> �A,t � � d � �S <br /> l�� C� I "L..�� �`, � , <br /> Applicant Permitee Signature Date Issued By Signature Date <br />