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� CITY OF ORONO * z 0 1 z - 0 1 1 1 9 * <br /> 2750 KELLEY PARKWAY pATE �SsuEn: 1UO3/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1655 BOHNS PO[NT RD <br /> PIN : 17-117-23-11-0002 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 349 <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,200.00 <br /> NOTE: (1)HEATING SYSTEM-LENNOX-ML180DF045E36A-NATURAL GAS-45,000 OUTPU"I'l3TU'S <br /> APPLICANT MECHANICAL 50.00 <br /> MARSH HEATING& AIR COND STATE SURCHARGE MECH(VALUATION) 1.10 <br /> 6248 LAKELAND AVE N <br /> MINNEAPOLIS, MN 55428- MAIL-IN FEE 2.00 <br /> (763)536-0667 TOTAL 53.10 <br /> OWNER <br /> NEWMAN, MR.& MRS. <br /> 1655 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work fbr which this pennit is issued shall be performed according to <br /> the approved plans and specitications,applicable Ciry approvals,and the <br /> State F3uilding Code. 'I'his permit is for only the work described and docs <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 I 80 days of the date of issuance,or iC construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applican[is responsible fcr assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time(or due caus . <br /> _ ( � /// � / � Z � �� / �/ � Z <br /> Applicant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER'THAN DESCRIB�,D ABOVE. <br />