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' ' CITY OF ORONO * 2 0 1 5 - 0 0 3 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3399 CRYS'�AL BAY RD <br /> PIN : 17-117-23-44-0021 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,975.00 <br /> NOTE: (1)DAIKIN FURANCE-NATURAL GAS- 1,600 CFM <br /> (1)DAIKIN A/C iJNIT-3 TON <br /> APPLICANT MECHANICAL 124.69 <br /> STATE SURCHARGE MECH(VALUATION) 4.99 <br /> COUNTRYSIDE HEATING COOLING MAIL-IN FEE 2.00 <br /> 1960 COUNTY ROAD 90 <br /> SUITE 200 TOTAL 131.68 <br /> MAPLE PLAIN,MN 55359 Payment(s) <br /> (763)479-1600 CREDIT CARD 0710 131.68 <br /> Minnesota State License#:mech-MB680636 <br /> OWNER <br /> V MCKINNEY,STEVE SOBIENIAK/ <br /> 3399 CRYSTAL BAY RD <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.'Chis permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within(80 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 /> \ <br /> / � / <br /> Applicant Permitee Signature Date sue Signature Date <br />