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CITY OF ORONO * 2 0 1 5 — 0 0 3 2 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2015 <br /> , ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2'720 PHEASANT RD <br /> Pllv : 21-117-23-23-0052 <br /> LEGAL DESC : YALE SMILEY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,290.00 <br /> NOTE: 1 BRYANT-HEATING SYSTEM <br /> APPLICANT MECHANICAL 53.63 <br /> STATE SURCHARGE MECH(VALUATION) 2.15 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- TOTAL 57.78 <br /> (952)835-7777 Payment(s) <br /> CHECK 10175 57.78 <br /> OWNER <br /> RIDGE, MARK <br /> 2720 PHEASANT RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 goveming 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��7 <br /> � `/ 'U�-E �� )Z JUd ( (�-.� l C`�`Y1 t.c r 1 � � / �� ��- <br /> Applicant Permitee Signature Date Issued By Signature Date <br />