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CITY OF ORONO * Z 0 1 5 — 0 1 PJ 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 <br /> �� ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 85 FERNDALE GREEN <br /> PIN : 36-118-23-44-0024 <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: 1 HEATING SYSTEM(GOODMAN), 1 COOLING SYSTEM(GOODMAN) <br /> APPLICANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> BLUE OX HEATING&AIR MAIL-[N FEE 2.00 <br /> 5720 INTERNATIONAL PKWY <br /> NEW HOPE, MN 55428- TOTAL 119.00 <br /> (612)238-9709 Payment(s) <br /> Minnesota State License#:mech-MB671957 CHECK 10969 119.00 <br /> OWNER <br /> POWERS,JOHN&ROXANNE <br /> 85 FERNDALE GREEN <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 goveming 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 I 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. _ (� �,� <br /> � _ i c_r�� <br /> �� -�.-�� �-( <br /> , � -�s <br /> Applicant Permitee ig atu Date Issued By Signature Date <br />