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" � CITY OF ORONO * 2 0 1 4 - 0 1 1 8 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 605 FERNDALE RD N <br /> PIN : 36-118-23-11-0004 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 12,000.00 <br /> NOTE: (1)�I'RIANGLG"I�tJI3E BOIL6R-NA'i'URAL GAS-3" PVC <br /> (1)MI�TSUI3ISIII COOLING SYS"I'E?M- I-1/2 TON <br /> APPLICANT MECHANICAL 150.00 <br /> STATE SURCHARGE MECH (VALUATION) 6.00 <br /> HEATING& COOLING TWO INC. MAfL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 158.00 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 158.00 <br /> OWNER <br /> BASTIAENS, BORT& FRANCISCUS <br /> 605 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMF,NT AND SWORN STATEMENT <br /> The work for���hich this permit is issued shall be perfonned according to <br /> the approved plans and spccitications,applicable City approvals,and the <br /> State F�uilding Code. '1'his permit is tor only the work described and does <br /> not grant permission fbr additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with���hether or not specified herein.'I�his permit will <br /> expire and become null and void if conslruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 AO days at any time after work has commenccd. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conformance���ith the State I3uilding Codc.This permit may bc <br /> revoked at an��time for due cause. <br /> /D/�� O �/3 � <br /> Applicant Pe� �itee Signature Datc ' Issue y Signaturc Date <br />