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CITY OF ORONO * 2 0 1 4 - 0 0 B 7 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 08/1 U2014 <br /> ` ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2725 PHEASANT RD <br /> PIN : 21-117-23-23-0024 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: 1 TRANE NAT GAS FURNACE <br /> 1 TRANE 3 TON AC <br /> APPLICANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> TOTAL COMFORT MAIL-IN FEE 2.00 <br /> 4000 WINNETKA AVE N TOTAL 119.00 <br /> SUITE 10 <br /> NEW HOPE,MN 55427- Payment(s) <br /> �� CHECK 1482 119.00 <br /> OWNER <br /> SEIFERT,THOMAS&DARYL <br /> 2725 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 1 <br /> ��1{'�`^"„r' l � <br /> Applicant Permitee Signature Date Issued By S' ture Date <br />