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� CITY OF ORONO * Z 0 1 4 - 0 1 4 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2550 FOX ST <br /> PIN : 04-117-23-41-0008 <br /> LEGAL DESC : BEAU MARAIS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: 1 BATH FAN&DUCTWORK TO ADDITION <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> SAYLER HEATING&AC STATE SURCHARGE MECH(<$500) 5.00 <br /> 6800 WEST LAKE ST. MAIL-IN FEE 2.00 <br /> ST. LOUIS PARK,MN 55426- TOTAL 22.00 <br /> (612)702-6622 Payment(s) <br /> CREDIT CARD 22.00 <br /> OWNER <br /> MALMQUIST,JAY&CHRISTINE <br /> 2550 FOX ST <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 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 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 /> ��. � - � U-� /�--,� � �� <br /> Applicant Permitee Signature Date Issue By Signature Date <br />