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� CITY OF ORONO * Z � 1 2 - 0 PJ 2 6 3 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1680 CONCORDIA ST <br /> PIIY : 17-1 17-23-22-0032 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 029 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE <br /> VALUATI0l�1 : $ 8,000.00 <br /> NOTE: 1 BRYANT NA7�GAS FURNACE <br /> I BRYANT 2.5 TON AC <br /> APPLICANT <br /> MECHANICAL ]00.00 <br /> RONS MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 4.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> O TOTAL 106.00 <br /> OWNER <br /> WILLIAMS&JUDY FESENMAIER, BRIAN <br /> 1680 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding 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 Ihis 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 /> I'he applicant is responsible for assuring all required inspections are <br /> requestcd in conforn�ance with the State Building Code."Chis permit may be <br /> revoked at any time for due cause. <br /> �/Z�' �"` ' V / / / / <br /> Applicant Permitee Signature Date Issued Qy Sig ure <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />