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CITY OF ORONO PERMIT NO.: 2011-00193 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 04/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : I 185 FERNDALE RD W <br /> PIN : 02-1 l 7-23-43-0025 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0397 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,800.00 <br /> NOTE: I301LER KEYLACI;MFNT 90000 BTU <br /> APPLICANT MECHANICAL 50.00 <br /> VOGT HEATING&AIR COND <br /> 3260 GORHAM AVE STATE SURCHARGE MECH (VALUATION) 5.00 <br /> ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00 <br /> (952)929-6767 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> WYMAN,JAMES& KATHLYN <br /> 1185 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> I <br /> AGREEMENT ANll SWORN STATEMENT <br /> "I�he���ork for�chich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and die <br /> State Building Code. "Chis permit is for only Uie���ork described and does <br /> not grant permission for additional or relatcd work which rcquires scparatc <br /> permits. All provisions of laws and ordinanccs governing this lype of work <br /> shall be compied with whether or not specitied herein.This permil will <br /> expire and hecome null and void if construction authorized is not <br /> commenced N�ithin 180 days of Uic date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State f3uildin�Code.This pennit may be <br /> revoked at any time for due,_Gause. <br /> ����(.-E(.c,(, �'t- l l l l <br /> Applicant Permitee Signature Date Issued Bv.�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB . <br />