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" CITY OF ORONO * Z 0 1 4 - 0 0 4 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2014 <br /> ' ORONO, MN 55356- <br /> (952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2524 SANDSTONE LA <br /> PIN : 33-118-23-11-0019 <br /> LEGAL DESC : STONEBAY <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,935.00 <br /> NOTE: 1 RHEEM NAT GAS FURNACE <br /> 1 RHEEM 2.5 TON AC <br /> APPLICANT MECHANICAL 136.69 <br /> STATE SURCHARGE MECH(VALUATION) 5.47 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER,MN 55304 TOTAL 144.16 <br /> (763)754-4000 Payment(s) <br /> CHECK 45606 144.16 <br /> OWNER <br /> Stonebrook Homes <br /> 1016 COVETRY PL <br /> EDINA,MN 55424- <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 permission for additional or related work which requires sepazate <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause� <br /> �/�;�1�"`' <br /> i i <br /> Applicant Permitee Signature Date Issued By ' ature Date <br />