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� , CITY OF ORONO * z 0 1 3 - 0 0 0 5 3 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OU22/2013 <br /> ORONO, MN 55356- <br /> ° (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 763 FERNDALE RD N <br /> PIN : 36-118-23-I1-0026 <br /> LEGAL DESC : LYDIARD HILLS <br /> : LOT 001 BLOCK OOl <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,149.00 <br /> NOTE: 1 BRYnNT NA"I'GAS PURNACG <br /> APPLICANT MECHANICAL 51.86 <br /> STANDARD HEATING & AIR CONDITIONING STATE SURCHARGE MECH (VALUATION) 2.07 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS, MN 5541 1- MAIL-IN FEE 2.00 <br /> 612-824-2656 TOTAL 55.93 <br /> OWNER <br /> ESTENSEN, DAVID&JODY <br /> 763 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�curk for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Coda 'I�his permit is for only thc work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speciiied herein.'fhis pcnnit will <br /> expire and become null and void it�construction authorized is not <br /> commenced within 180 days of the datc of issuance,or if construction is <br /> suspcnded for a period of 180 days at any time aRer work has commenced. <br /> �he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance ti�ith the State f3uilding Code.This permit may be <br /> revoked at any time for due causc. <br /> �� Lt/L / / �"l�i ta. , l l <br /> r�.�,r,���l <br /> npplicant Perm�tee Signature llate Issued By, �nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OVE. <br />