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CITY OF ORONO * 2 0 1 6 - 0 0 0 S 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1951 CONCORDIA ST <br /> PIN : 18-117-23-14-0011 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 010 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MLJLTIPLE <br /> VALUATION : $ 4,070.00 <br /> NOTE: (1)LENNOX FURNACE-70,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 50.87 <br /> STATE SURCHARGE MECH(VALUATION) 2.03 <br /> ABEL HEAING&COOLING MAIL-IN FEE 2.00 <br /> 6501 COLJNTY RD 15 <br /> M[NNETRISTA, MN 55364- TOTAL 54.90 <br /> (952)472-2665 Payment(s) <br /> Minnesota State License#: mech-MB003400 CHECK 20774 54.90 <br /> OWNER <br /> GILDEA TRUSTEE,ANGELINE A <br /> 1951 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEME1vT 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 rype 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 I SO 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 /> r <br /> cu�e.� / �2� / <br /> Applicant Permitee Signature Date Issued ignature Date <br />