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, '� <br /> CITY OF ORONO * 2 0 1 7 - 0 1 4 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: i ll06/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 739 STONEBAY DR <br /> PIN : 33-118-23-11-0071 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,950.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)RHEEM NATURAL GAS HEATING SYSTEM <br /> (1)RHEEM 3 TON A/C UNIT <br /> (1)KITCHEN EXHAUST HOOD VENT <br /> (2)BATH EXHAUST- 110 CFM <br /> APPLICANT MECHANICAL 174.37 <br /> STATE SURCHARGE MECH(VALUATION) 6.97 <br /> RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER,MN 55304 TOTAL 183.34 <br /> (763)7544000 Payment(s) <br /> Minnesota State License#:mech-MB003474 CHECK 47256 183.34 <br /> OWNER <br /> Wooddale Builders Inc <br /> ,O. <br /> 6117 BLUE CIRCLE DRIVE <br /> MINNETONKA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail be perfortned 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ' <br /> C 1� l l <br /> Applicant Permitee Signature Date Issued By ignature Date <br />