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� CITY OF ORONO * 2 0 1 2 — 0 1 2 6 3 * <br /> r 2750 KELLEY PARKWAY nATE �SSUEn: 12/20/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 51 1 FERNDALE RD N <br /> PIN : 36-118-23-13-OO12 <br /> LEGAL DESC : FAIRWAY VIEW <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 12,500.00 <br /> NOTE: 1 CARRIER NAT GnS FURNACI; <br /> 1 CARRIER 4"I'ON AC <br /> APPLICANT MECHANICAL 156.25 <br /> RESIDENTIAL HEATING& AIR, INC. STATE SURCHARGE MECH (VALUATION) 6.25 <br /> 1815 EAST 41ST STREET SU[TE A <br /> MINNEAPOLIS, MN 55407- MAIL-IN FEE 2.00 <br /> (612)724-1899 TOTAL I64.50 <br /> OWNER <br /> CAPECE, BARBARA& MARK <br /> 51 1 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this permit is issued shall be perlormed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit�vill <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 wark has commenced. <br /> I he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a[any timc for due cause. ` <br /> < <br /> i;� � / / / / <br /> Applicant Permitee Signalure Datc Issued By S' ature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />