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'' ' CITY OF ORONO * Z 0 1 6 - 0 0 2 9 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/29/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 787 BOULDER DR <br /> PIN : 33-118-23-11-0132 <br /> LEGAL DESC : STONEBAY <br /> : LOT 7&8 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 14,235.00 <br /> NOTE: (1)RHEEM NATURAL GAS FURNACE <br /> (1)RHEEM 3-TON A/C UNIT <br /> (1)HOOD VENT <br /> (3)BATH EXHAUST <br /> (1)DRYER VENT <br /> APPLICANT MECHANICAL 177.94 <br /> STATE SURCHARGE MECH(VALUATION) 7.12 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER, MN 55304 TOTAL 187.06 <br /> (763)754-4000 Payment(s) <br /> Minnesota State License#: mech-MB003474 CHECK 46486 187.06 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIR DR <br /> MINNETONKA, MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <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 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 <br /> revoked at any time for due cause. <br /> C�l,�.a.�Pf��> � 3 i�� i �� <br /> Applicant Permitee Signature � Date Issued Signature Date <br />