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� � CITY OF ORONO * 2 0 1 7 - 0 0 2 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 525 FERNDALE RD N <br /> PIN : 36-118-23-14-0005 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRYANT NATURAL GAS FURNACE I 10,000 INPUT BTU'S AND 98,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 62.50 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 7415 CAHILL RD MAIL-IN FEE 2.00 <br /> EDINA,MN 55439- TOTAL 67.00 <br /> (952)835-7777 Payment(s) <br /> Minnesota State License#:mech-MB004828 CHECK 13202 67.00 <br /> OWNER <br /> OGLAND,JAMES&MARGARET <br /> 525 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 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 /> � �t ��-�-�-�-,I - � � a� ��7 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />