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� CITY OF ORONO * z � 1 4 - 0 1 2 7 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 15,900.00 <br /> NOTE: (1)CARRIER FURANCE AND A/C <br /> APPLICANT MECHANICAL 198.75 <br /> STATE SURCHARGE MECH(VALUATION) 7.95 <br /> RESIDENTIAL HEATING&AIR, INC. MAIL-IN FEE 2.00 <br /> 1815 EAST 41ST STREET SUITE A <br /> MINNEAPOLIS, MN 55407- TOTAL 208.70 <br /> (612)724-1899 Payment(s) <br /> CHECK 25611 208.70 <br /> OWNER <br /> CONNELLY,THOMAS <br /> 3115 NORTH SHORE DR <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 /> 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> /D Z 1 /o � 29� i 5< <br /> Applicant Permitee Sign re Date Issu By Signature Date <br />