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- CITYOFORONO * z015 - 00873 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2175 KENWOOD WAY <br /> PIIY : 17-117-23-41-0035 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 8,651.00 <br /> NOTE: MAKE:BRYANT <br /> APPLICANT MECHANICAL 108.14 <br /> STATE SURCHARGE MECH(VALUATION) 433 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7588 WASH[NGTON AVE S <br /> EDEN PRAIRIE,MN 55346- TOTAL 114.47 <br /> (952)835-7777 Payment(s) <br /> CHECK 10684 114.47 <br /> OWNER <br /> OWEN&JILL HUSHES, CLIFFORD <br /> 2175 KENWOOD WAY <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed 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 pemiission 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 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 /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. �t � <br /> f' <br /> � �r 1��� �`--��-- '� �; � r���-�c; � � ��{ � !S <br /> � �c� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />