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CITY OF ORONO * 2 P1 1 4 - 0 1 2 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3405 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0022 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO(vSTRUCTION TYPF. : HEATING SYSTEMS <br /> VALUATION : $ 2,928.00 <br /> NOTE: 1 LGNNOX NA"I�URAL GAS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 1.46 <br /> ABEL HEAING& COOLING MAIL-IN FEE 2.00 <br /> 6501 COUNTY RD 15 <br /> MINNETRISTA, MN 55364- TOTAL 53.46 <br /> Payment(s) <br /> CHECK 19758 53.46 <br /> OWNER <br /> SWEET, CATHERINE <br /> 3405 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sl�all 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 fbr additional or related work whicl�requires separate <br /> permits. All provisions of laN�s and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit�cill <br /> expire and become null and void it�construclion authorized is not <br /> commenced within 180 da��s uf the date of issuance,or if construction is <br /> suspended ibr a period of 180 days at any time after work has commenced. <br /> l�he applicant is responsible for assuring all required inspections�re <br /> requested in conformance with thc State f3uilding Coda This permit tnay be <br /> rcvoked at anv time tor due cause. <br /> �� �..�--� C� f �� � ,-� , l�-�' <br /> Applicant Permitee Signature Date Issued I y Signature Datc <br />