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CITY OF ORONO * z 0 1 4 - 0 1 1 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2014 <br /> � ORONO, MN 55356- <br /> ` (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 124 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0039 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 7,862.00 <br /> NO'i'E: HEAT'ING SYSTEM <br /> APPLICANT MECHANICAL 98.28 <br /> UPTOWN HEATING&COOLING STATE SURCHARGE MECH (VALUATION) 393 <br /> 31 10 WASHINGTON AVE.N. MAIL-IN FEE 2.00 <br /> MINNEAPOLIS, MN 5541 1- TOTAL 104.21 <br /> (612)827-4674 Payment(s) <br /> CHECK 35300 104.21 <br /> OWNER <br /> DENZIN,CHRIS <br /> 124 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pem�it is issucd shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not grant permission for additional or related work which requires scparate <br /> perniits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he 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. �r�/�� <br /> lY <br /> � � �Cc � �i 1,�-�� ,�7L-�, �- �� ��;��-�,,�c� i:� � �� ��' � . <br /> Applicant Permitee Signature Date Issued By�Signa ure Date <br />