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CITY OF ORONO * Z 0 1 2 - 0 0 9 5 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2012 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1560 FOX ST <br /> PIN : 02-117-23-32-0006 <br /> LEGAL DESC : MACMILLAN ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,620.00 <br /> NOTE: I LENNOX NAT GAS HEnTING SYS"CEM <br /> APPWCANT MECHANICAL 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH (VALUATION) 1.31 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 TOTAL 53.31 <br /> OWNER <br /> MACMILLAN, WHITNEY <br /> PO BOX 5628 <br /> MINNEAPOLIS, MN 55440-5628 <br /> AGREEMENT AI�D SWORN STATEMENT <br /> The work for���hich this permit is issucd 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 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the datc of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State I3uilding Code.'Chis permit may be <br /> revoked at any time for due cause. <br /> ;�22GLG� �_, l l ��j V�,yt l l <br /> Applicant Permitee Signature Uate Issucd By.' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />