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, , CITY OF ORONO * z 0 1 4 — 0 0 5 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 <br /> ' ' ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1725 CONCORDIA ST <br /> PIN : 17-117-23-22-0044 <br /> LEGAL DESC : COFFE'S ADDITION TO SHADYWOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,205.00 <br /> NOTF: 1 BRYANT NAT GnS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUAT[ON) 1.60 <br /> HEATING& COOLING TWO INC. MA[L-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 53.60 <br /> (763)428-3677 Payment(s) <br /> CHECK 11990 53.60 <br /> OWNER <br /> NYSTROM,JAMES <br /> 1725 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> ihe work for which this permit is issued shall be performed according to <br /> die 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 ot�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 appiicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code."Chis permit may be <br /> revoked at any time for due cause. <br /> �__ / <br /> � .�__, �__� �,_� ��.�.c ��-�f� �'t � �',� �� `{ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />