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CITY OF ORONO * 2 0 1 4 — 0 0 0 1 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3790 TOGO RD <br /> PIN 17-117-23-31-0018 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 010 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 6,000.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 1 LENNOX 2.5 TON AC <br /> APPLICANT MECHANICAL 75.00 <br /> SCOTTS HEATING &AC STATE SURCHARGE MECH(VALUATION) 3.00 <br /> 2846 BRADSHAW CR SE TOTAL 78.00 <br /> BUFFALO, MN 55313- Payment(s) <br /> (763)972-2302 CHECK 11016 78.00 <br /> BEHM,MR&MRS WAYNE <br /> 3790 TOGO RD <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 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 /> Applicant Permitee Signhfure Date Issue y i ature Date <br />