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} a � <br /> CITY OF ORONO * z 0 1 z - 0 1 1 0 7 * <br /> 2750 KELLEY PARKWAY DATE �SSUED: 10/31/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2745 ETHEL AVE <br /> PIN : 20-117-23-24-0016 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE ; RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 1,379.00 <br /> NOTF:: (l)LENNOX HEATING SYSTEM-ML180UH070Y24A03-Gi1S-5" FLUE <br /> 70,000 INPUT BTU'S,56,000 OUTPUT I3TU'S,800 CFM <br /> APPLICANT MECHANICAL 50.00 <br /> STAFFORD HOME SERVICE INC. STATE SURCHARGE MECH (VALUATION) 0.69 <br /> 6225 CAMBRIDGE STREET <br /> ST LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 <br /> (952)927-7194 TOTAL 52.69 <br /> OWNER <br /> PEIFER, AMBER <br /> 2745 ETHEL AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�hc work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permissia�for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 /> 1'he applicant is responsible for assuring aIl required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau . <br /> � /D i�-l i l �-� -!/( /(� lv�� i l�� <br /> Applicant Permitee " re Date Issuc y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />