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� � CITY OF ORONO * 2 0 1 6 - 0 PJ PJ 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> PIN : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 18,000.00 <br /> NOTE: (1)DAY/NIGHT FURNACE <br /> (1)DAY/NIGHT A/C UNIT <br /> (1)KITCHEN EXHAUST-80 CFM <br /> (6)BATH EXHAUST- 120 CFM <br /> AIR EXHANGER,DUCTWORK,GASLINE TO FURNACE,DRYER VENT <br /> APPLICANT MECHANICAL 225.00 <br /> STATE SURCHARGE MECH(VALUATION) 9.00 <br /> HEATING&COOLING DESIGN INC MAIL-IN FEE 2.00 <br /> 1010 118TH AVENUE <br /> BLAINE, MN 55434- TOTAL 236.00 <br /> (763)291-8519 Payment(s) <br /> 236.00 <br /> OWNER <br /> ELLIOTT, STEVE <br /> 1400 BALDUR PARK RD <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 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 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 /> � u�t%C-�G� D � �i c� l � l J�l:� <br /> Applicant Permitee Signatu Date Iss ed y Signatare Date <br />