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E . . <br /> CITY OF ORONO * 2 0 1 4 — 0 0 2 5 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/31/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1065 FERNDALE RD W <br /> PIN : 02-117-23-43-0021 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1372 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 60,000.00 <br /> NOTE: GEOTHERMAL-(2)ELECTRIC AND(1)NATURAL GAS HEATING SYSTEMS <br /> (2)COOLING SYSTEMS <br /> (1)KITCHEN EXHAUST <br /> (4)BATH EXHAUST <br /> GASLINE FOR OUTDOOR GRILL <br /> APPLICANT MECHANICAL 750.00 <br /> UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 30.00 <br /> 5115 INDUSTRIAL STREET MAIL-IN FEE 2.00 <br /> MAPLE PLAIN,MN 55359 TOTAL 782.00 <br /> (763)479-6325 Payment(s) <br /> CHECK 034915 782.00 <br /> OWNER <br /> DETOR,ELIZABETH&LUCAS <br /> 1065 FERNDALE RD W <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 dces <br /> not grant permission for additional or related work which requires sepazate <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 /> �� c[ 3 ��3/ // <br /> Applicant Permitee Signature te Iss d By Signature Date <br />