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� CITY OF ORONO * z 0 1 6 - PJ 0 3 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 627 FERNDALE RD N <br /> PIN : 36-118-23-11-0029 <br /> LEGAL DESC : LAURENT ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,400.00 <br /> NOTE: 1 GARAGE HEATER(MODINE) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.20 <br /> THE FIREPLACE PROFESSIONALS TOTAL 51.20 <br /> 5297 KAHLER DRIVE NE Payment(s) <br /> ALBERTVILLE,MN 55301 CREDIT CARD 5953 51.20 <br /> (763)238-9036 <br /> Minnesota State License#:mech-MB004932 <br /> OWNER <br /> JOHNSON,BONNIE <br /> 627 FERNDALE RD N <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 Ihe 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 nuil 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 ith the State Building Code.This permit may be � %� <br /> revoked at an time e cause ) <br /> c <br /> /�%�16 l� ���'�L' � � <br /> � I'� I b <br /> p �cant Permitee Signature Date Issued By Signat Date <br />