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CITY OF ORONO * 2 0 1 5 — 0 0 3� <br /> . . <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2015 <br /> ORONO,NIN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3155 NORTH SHORE DR <br /> PIN : 09-117-23-33-0001 <br /> LEGAL DESC : LJNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,500.00 <br /> NOTE: HEATING SYSTEM-CARRIER#58CTW 110 <br /> APPLICANT MECHANICAL 56.25 <br /> STATE SURCHARGE MECH(VALUATION) 2.25 <br /> RON'S MECHANICAL,INC. MqIL-IN FEE 2.00 <br /> 2026 COLBURN DRIVE <br /> SHAKOPEE,MN 55379 TOTAL 60.50 <br /> (952)445-8585 Payment(s) <br /> CHECK 12043 60.50 <br /> OWNER <br /> MANDEL,JAMES&PAULA <br /> 3155 NORTH SHORE DR <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 dces <br /> not grant pertnission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> sha(I be compied with whether or not specified herein.This pertnit 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 /> ���., `� � �--� �� <br /> Appli�itee Signature Date Issued y Signature Date <br />