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' ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 fd 1 6 — fd 1 1 9 5 * <br /> DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 525 FERNDALE RD N <br /> PIN : 36-118-23-14-0005 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,500.00 <br /> NOTE: (1)BRYnN"I'COOL[NG SYSTEMS <br /> 2.5 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 1.75 <br /> 7415 CAHILL RD MAIL-IN FEE 2.00 <br /> EDINA, MN 55439- TOTAL 53.75 <br /> (952) 835-7777 Payment(s) <br /> Minnesota State License#: mech-MB004828 CHECK 12464 53.75 <br /> OWNER <br /> OGLAND,JAMES& MARGARET <br /> 525 FERNDALE RD N <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 pennission for additional or related work which requires separate <br /> pennits. 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 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 /> � ��/ � <br /> Applicant Permitee Signature Date Issued B ignature Date <br />