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CITY OF ORONO PEaM�T No.: 2oii-000�3 <br /> 2750 KELLEY PARKWAY <br /> �-� ORONO, MN 55356- �ATE �SsuE�: 02/04/2011 <br /> `� 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1055 FERNDALE RD W <br /> PI N : 02-1 17-23-43-0029 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,140.00 <br /> NUI�f:: 1 LI;,NNOX Nn"I�. GAS 1=URNACI: <br /> APPLICANT MECHANICAL 64.25 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 MISC FEE 0.00 <br /> TOTAL 71.25 <br /> OWNER PAID WITH CC# 307d <br /> MCCOURTNEY, GERALD& KAREN <br /> 1055 FERNDALE RD W <br /> � WAYZATA, MN 55391 <br /> I <br /> I <br /> AGIZEEMENT AND SWORN STATEMENT <br /> I he work for which this permit is issucd shall be perfonncd according to <br /> thc approvcd plans and spcci�ications,applicable Ciry�pprovals,and thc <br /> State l3uilding Code. '1'his permit is for onl�'the�cork describcd.md docs <br /> not grant permission�i�r additional or related��°ork�chich requires separate <br /> pennits. All provisions of laws and ordinances governin�this type of�vork <br /> � shall be compied with whcther or not specitied herein.This pennit will <br /> expire and become null and void if constriiction authorired is not <br /> commcnccd within I 80 days of thc date of issuancc,or if construction is <br /> suspended for a period of I 80 da��s at any time atter work has commcnced. <br /> I�hc applicant is responsiblc for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This pcnnit may bc <br /> revoked at any time for due cause. <br /> ��y'V�-�-'�, lM, / / / / <br /> �� npplirint P�rmi�ec Signatw-e Date Issued By Si n ture Datc <br /> i <br /> , SEPARATE PERMITS REQUIRGD FOR WORK OTHER T AN DESCRIBED ABOV . <br />