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� CITY OF ORONO * Z 0 1 6 - 0 1 0 8 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 65 FERNDALE GREEN <br /> PIN : 36-118-23-44-0026 <br /> LEGAL DESC : FAIRWAY HILLS ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,800.00 <br /> NOTE: REPLACG:COOLING SYSTEM(BRYANT) <br /> APPL[CANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUAT[ON) 1.90 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA, MN 55439- TOTAL 53.90 <br /> (952) 835-7777 Payment(s) <br /> Minnesota State License#: mech-MB004828 CREDIT CARD 8852 53.90 <br /> OWNER <br /> LAPERRE, TIMOTHY&NANCY <br /> 65 FERNDALE GREEN <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 /> shail 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 l80 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 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 /> 1 <br /> � �C ,'1 ��..���f�� �> �l (D l / (� <br /> Applicant Permitee Signature Date Issued B Signature Date <br />