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` CITY OF ORONO * z 0 1 5 - 0 1 3 2 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2015 <br /> ! ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 801 FERNDALE RD N <br /> PIN : 36-118-23-11-0027 <br /> LEGAL DESC : LYDIARD H1LLS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATIOIV : $ 14,392.00 <br /> NOTE: REPLACE:2 HEATING SYSTEMS(LENNOX)&2 COOLING SYSTEMS(LENNOX) <br /> APPLICANT MECHANICAL 179.90 <br /> STATE SURCHARGE MECH(VALUATION) 7.20 <br /> MARSH HEATING&AIR COND MAIL-IN FEE 2.00 <br /> 6248 LAKELAND AVE N <br /> MINNEAPOLIS, MN 55428- TOTAL 189.10 <br /> (763)536-0667 Payment(s) <br /> Minnesota State License#:mech-MB003532 CHECK 86210 189.10 <br /> OWNER <br /> ALEXANDER,DONNA&JAY <br /> 801 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 the work described and does <br /> not grant permission for additional or celated 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 cons[ruc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> � <br /> �� ���� C�� � � «,�� � �c���� ���s��-�S�; 1 � � t�f� 1 � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />