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CITY OF ORONO * 2 0 1 4 - B 0 4 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AUDRESS : 1975 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0006 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIUENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 6,300.00 <br /> NOTE: C�IRRIER AIR IiANDLER 3'fON AC. <br /> APPLICANT MECHANICAL 78.75 <br /> STATE SURCHARGE MF,CH (VALUATION) 3.15 <br /> CENTER POIN7'ENERGY M[NNEGASCO MAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 83.90 <br /> COON RAPIDS, MN 55433 Payment(s) <br /> (763)757-6202 CHECK 18426 8�.90 <br /> OWNER <br /> ETAL,JOHN PURDY <br /> 1975 FAGERNESS PT RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for���hich this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and Ihe <br /> State[3uilding Code. This perniit is for only the work described and docs <br /> not grant permission for addi[ional or related���ork�vhich requires separate <br /> permits. All provisions of la�vs and ordinances governing this type of work <br /> shall be compied���ith���hether or not specitied herein.'fhis permit will <br /> cxpire 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 o1� 180 days at any time afrer w�ork has commenced_ <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnancc with the State[3uilding Code.'I�his permit may be <br /> revoked at any�time for due cause. <br /> . <br /> / / <br /> �lpplicant Permitee Signature Date Issued By � ature Date <br />