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CITY OF ORONO * 2 0 1 4 — 0 1 4 3 6 * <br /> �� -t � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1420 SHORELINE DR <br /> PIN : 11-117-23-22-0015 <br /> LEGAL DESC : DRAGONFLY HILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,200.00 <br /> NOTE: 1 HEATING SYSTEM-LENNEX& 1 LENNEX COOLING <br /> APPLICANT MECHANICAL 115.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.60 <br /> SELECT MECHANICAL SERVICES INC. TOTAL 119.60 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- Payment(s) <br /> (952)926-4488 CREDIT CARD 8605 119.60 <br /> OWNER <br /> FELDSHON,DAVID&ARCHELLE <br /> 1420 SHORELINE 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 does <br /> not gant 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 suthorized 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 /> ,c , <br /> Applicant Permitee Signature Date Iss d By Signature ate <br />