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� CITY OF ORONO * Z 0 1 5 - 0 0 7 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 <br /> � ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1340 FOX ST <br /> PIN : 02-117-23-31-0056 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT MB BLOCK 14 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 23,000.00 <br /> NOTE: 1 HEATING& 1 COOLING SYSTEM,GAS FIREPLACE, 1 KITCHEN EXHAUST,5 BATH EXHAUSTS&GAS LINES <br /> APPLICANT MECHAN[CAL 287.50 <br /> STATE SURCHARGE MECH(VALUAT[ON) 11.50 <br /> GENZ-RYAN PLUMB[NG&HEAT MAIL-IN FEE 2.00 <br /> 2200 HIGHWAY 13 <br /> BURNSV[LLE,MN 55337 TOTAL 301.00 <br /> (952)767-1000 Payment(s) <br /> CHECK 147866 301.00 <br /> OWNER <br /> Chamberlain Capital LLC <br /> 11578 CAHMBERLAIN COURT <br /> EDEN PRAIRIE, MN 55344- <br /> AGREEMEIYT 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 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. ��� <br /> ���•, <br /> j� ,,�v ? � C0� K � j <br /> Applicant Permitee Signat re � Date Issued By Signature Date <br />