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. �, CITY OF ORONO * Z 0 1 5 - 0 0 1 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 635 FERNDALE RD N <br /> PIN : 36-118-23-11-0009 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATIOI�1 : $ 500.00 <br /> NOTE: (1)KITCHEN EXHAUST-5" DUCT-280 CFM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 025 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COLJNTY ROAD 81 • <br /> MAPLE GROVE, MN 55369- TOTAL 52.25 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 52.25 <br /> OWNER <br /> VICTORIA O'NEILL,LARRY JACOBSON&VICTORIA <br /> 635 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD 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 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 construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 permit may be <br /> revoked at any time for due cause. <br /> � Gc.c�e�CJ ��YZ�,vt- l l�-gl �S <br /> Applicant Permitee Signature Date Issued y Signature Date <br />