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• CITY OF ORONO I loll 111111111111111111 IN 11111119H <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 5 2 6 <br /> DATE ISSUED: 06/19/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1145 WYNDMERE RD <br /> PIN 26-118-23-41-0011 <br /> LEGAL DESC WYNDMERE <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,500.00 <br /> NOTE: (2)BRYANT FURNACES-NATURAL GAS-2"PVC <br /> (2)BRYANT AJC UNITS-ONE 2-TON AND ONE 3-TON <br /> APPLICANT MECHANICAL 143.75 <br /> HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 5.75 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 149.50 <br /> (763)428-3677 PAID WITH CC# 9282 <br /> OWNER <br /> GILL,F STEPHEN&GRETCHEN <br /> 1145 WYNDMERE RD <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />