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� CITY OF ORONO * Z 0 1 5 - 0 0 3 4 7 * <br /> ' � f 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> pIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $2,000.00 <br /> NOTE: 2 LENNOX UNIT HEATERS FOR GARAGE,LF24-3QA/LF60A-60-RUN GAS LINE TO GARAGE THROUGH HOUSE <br /> APPLICANT MECHANICAL 50.00 <br /> BA DORWEILER SERVICES STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 1809 S.POINT DOUGLAS RD MAIL-IN FEE 2.00 <br /> ST.PAUL,MN 55119- TOTAL 53.00 <br /> (651)731-9757 Payment(s) <br /> Minnesota State License#:mech-MB005673 CREDIT CARD 3245 53.00 <br /> OWNER <br /> Orono Woodlands <br /> 2100 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfoaned 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 gant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �� .�.� C���(� � ��=b� (S <br /> Applicant Perm�tee Signature Date Issued Signature Date <br />