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. � CITY OF ORONO * z 0 1 5 - 0 0 1 2 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU28/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATIOI�I : $ 20,000.00 <br /> NOTE: (1)LENNOX NATURAL GAS FURNACE <br /> (1)LENNOX A/C <br /> (3)BATH EXHAUST <br /> NF,W DUCTWORK <br /> CASLINE TO 1 ST FLOOR F[REPLACE AND RANGE <br /> APPLICANT MECHANICAL 250.00 <br /> SAYLER HEATING&AC STATE SURCHARGE MECH (VALUATION) 10.00 <br /> 6800 WEST LAKE ST. MAIL-IN FEE 2.00 <br /> ST. LOUIS PARK, MN 55426- TOTAL 262.00 <br /> (612)702-6622 Payment(s) <br /> CREDIT CARD 3833 262.00 <br /> OWNER <br /> BJORK, ROBERT& BETH <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall 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 for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 construc[ion is <br /> suspended for a period of t AO 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 permi[may be <br /> revoked at any time for due cause. <br /> � <br /> � z� i5 � ,��,/5 <br /> App�icant Permitee Sign re Date Issued y Signature Date <br />