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� CITY OF ORONO * Z 0 1 6 - 0 1 4 1 3 * <br /> 2750 KELLEY PAIZKWAY DATE ISSUED: 1U08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1080 FERNDALE RD W <br /> PIN : 02-117-23-43-0007 <br /> LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION : $ 875.00 <br /> NOTE: WATER HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.44 <br /> HEATING&COOL[NG TWO INC. MAIL-[N FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 52.44 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 52.44 <br /> OWNER <br /> CHUGG, ERROL&TRACY <br /> 1080 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for Nhich this permit is issued shall be perforn�ed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only Ihe work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. AlI provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specified herein.This pem�it 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 confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> / / <br /> Applicant Permitee Signaiure Date Issued 5ignature Date <br />