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, CITY OF ORONO * z 0 1 5 - 0 1 1 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2015 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3375 GRAHAM H[LL RD <br /> P[IV : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 14,600.00 <br /> NOTE: 1 HEATING SYSTEM(WIRSBO) <br /> APPLICANT MECHANICAL 182.50 <br /> STATE SURCHARGE MECH (VALUAT[ON) 7.30 <br /> RICCAR HEATING&AIR COND [NC. MAIL-IN FEE 2.00 <br /> 2387 STATION PKWY NW <br /> ANDOVER, MN 55304 TOTAL 191.80 <br /> (763)754-4000 Payment(s) <br /> Minnesota State License#: mech-MB003474 CREDIT CARD 4048 191.80 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR, STE 101 <br /> M[NNETONKA, MN 55343- <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 permi[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 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 construc[ion 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. ��f � <br /> -� � ! <br /> ' � � �C c� Z`LL'� ' (� �U1 I �.�.-{S�' �-'� , 3 i � c> <br /> d ��C�t ( �� �_ <br /> Applicant Permitee Signature Date Issued By Signature � Date <br />