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' CITY OF ORONO * Z 0 1 5 - 0 1 4 5 8 * <br />• 2750 KELLEY PARKWAY DATE ISSUED: 1U12/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2175 KENWOOD WAY <br /> PIN : 17-117-23-41-0035 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK MB <br /> PERM[T TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUAT[ON : $ 5,100.00 <br /> NOTE: REPLACE HEATING SYSTEM(BRYANT) <br /> APPLICANT MECHAN(CAL 63.75 <br /> STATE SURCHARGE MECH(VALUATION) 2.55 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- TOTAL 68.30 <br /> (952)835-7777 Payment(s) <br /> CHECK 11180 68.30 <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 permit 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 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 no[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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. , �L� � <br /> �� �L <br /> � � , `I _ <br /> � 1-�,� i ? i� �.�7�. � � �� �/`-.�-E! `SL � � � �- � — <br /> / ; i �., � / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />