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' CITY OF ORONO * 2 0 1 6 - 0 1 2 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/1ll2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 758 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0133 <br /> LEGAL DESC : STONEBAY FOURTH ADDIT[ON <br /> : LOT 16 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 15,680.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM NATURAL GAS FURANCE AND A/C <br /> (1)KITCHEN EXHAUST <br /> (3)BATH EXHAUST <br /> (1)FAN FOR DRYER VENT <br /> APPLICANT MECHAN[CAL 196.00 <br /> STATE SURCHARGE MECH(VALUATION) 7.84 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER, MN 55304 TOTAL 205.84 <br /> (763)754-4000 Payment(s) <br /> Minnesota State License#: mech-MB003474 CHECK 46752 205.84 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE, MN 55304- <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 docs <br /> not grant permission for additional or related���ork 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 perniit will <br /> expire and become null and void if construction authorized is not <br /> commeneed within 180 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 /> � <br /> C �'vt.a-c.QeG(/ -�- � �o l �� l /b <br /> Applicant Permitee Signature Date Issued B ignature Date <br />