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CITY OF ORONO * 2 0 1 6 - 0 0 8 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2895 CASCO POINT RD <br /> PIN : 20-117-23-31-0053 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 099 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,600.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX FURNACE AND A/C <br /> APPLICANT MECHANICAL 95.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.80 <br /> SEDGWICK HEATING&A/C MAIL-IN FEE 2.00 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 100.80 <br /> (952) 881-9000 Payment(s) <br /> CHECK 16821 100.80 <br /> OWNER <br /> NAYLOR,JOHN&JODI <br /> 2895 CASCO POINT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this 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 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 construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of ISO 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.This permit may be <br /> revoked at any time for due cause. � <br /> '� � � - 7 � /.�� / (� <br /> Applicant Permitee Signature Date Issued Signature Date <br />