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� " � CITYOFORONO * Z013 - 0099PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS ; ll05 FERNDALE RD W <br /> PIN : 02-117-23-43-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0441 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 48,000.00 <br /> NOTG: GEOTHFRMAL HEATING SYSTEMS <br /> GEOCOMI'OR'T COOLING SYSTEM <br /> (1)KITCHEN EXHAUST <br /> (5)BATH EXHAUST <br /> GASLINE FOR COOKTOP AND FIREPLACF, <br /> APPLICANT MECHANICAL 600.00 <br /> MASSMANN, GEOTHERMAL&MECH STATE SURCHARGE MECH(VALUATION) 24.00 <br /> 27944 96TH STREET <br /> ZIMMERMAN, MN 55398 TOTAL 624.00 <br /> (763)416-5066 <br /> OWNER <br /> TRUWIT, CHIP <br /> 1105 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit is issued shall be performed�ccording to <br /> [he approved plans and specitications,applicable City approvals,and thc <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 /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within 1 AO 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 confbrmance wi[h the State Building Code.This permit may be <br /> revoked at any time for due ca se. <br /> � � �a� � ���- ���� �3 <br /> App 'cant Permitee Signature Date Issued �Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />