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r <br /> ... CITY OF ORONO PERMIT NO.: 2009-00662 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE 1sSUED: 10/02/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1855 CONCORDIA ST <br /> PIIV : 17-117-23-22-0038 <br /> LEGAL DESC : FAGERNESS WOODS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,800.00 <br /> NOTG: I LENNOX HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> VOGT HEAT[NG&AIR COND STATE SURCHARGE MECH (VALUATION) 1.40 <br /> 3260 GORHAM AVE <br /> ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00 <br /> (952)929-6767 MISC FEE 0.00 <br /> TOTAL 53.40 <br /> OWNER <br /> ANDERSON, V[NCENT& VIRGIN[A <br /> 1855 CONCORDIA S. <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 additiona)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 da[e 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 S[ate Building Code.This permit may be <br /> revoked at any time for due eause. <br /> t <br /> `��Z.a� Gic � � � � <br /> Applicant Permitee Signature Date Issued By ' nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED A O . <br />