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• CITY OF ORONO * 2 0 1 4 - B 1 3 6 1 * <br /> 2750 KELLEY PARKWAY llATE ISSUED: 11/21/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1932 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-0015 <br /> LF,GAL DESC : FAGERNESS <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 3,000.00 <br /> NO"TF: (1)NATURAL GAS CARRIER FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> RES[DENTIAL HEATING& A[R, INC. MAIL-IN FEE 2.00 <br /> 1815 EAST 41ST STREET SUITE A TOTAL 53.50 <br /> MINNEAPOLIS, MN 55407- <br /> (612)724-1899 Payment(s) <br /> CHECK 25682 53.50 <br /> OWNER <br /> MARON, BARRY <br /> 1932 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> �he��ork for which this permit is issued shall be performed aceording to <br /> Ihe approved plans and specifications,applicable City approvals,and the <br /> State E�uilding Code. �Chis permit is for onh�thc work described and docs <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 N�hether or not specified herein.This pern�it 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 Yor assuring all required inspections are <br /> requestcd in conformance with the State Building Code.This pennit may be <br /> revoked at anv time for due cause. <br /> � � �l / � /� i�/ i/51 <br /> Applicant Permitee Signature ate Issu C3y Signaturc Date <br />