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1 <br /> � CITY OF ORONO * z 0 1 5 - 0 1 1 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/1U2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2630 FOX ST <br /> PII� : 04-117-23-42-0009 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCT[ON TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,703.00 <br /> NOTE: 1 HEATING SYSTEM REPLACEMENT(AMANA) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 1.85 <br /> BONFE'S PLUMB[NG, HEATING&AIR MAIL-IN FEE 2.00 <br /> 505 RANDOLPH AVE <br /> ST PAUL, MN 55109- TOTAL 53.85 <br /> (651)287-2237 Payment(s) <br /> Minnesota State License#: PLUM-058395 CHECK 37226 53.85 <br /> PM,mech-L09836613 <br /> OWNER <br /> SARENPA,ANTHONY&NICOLE <br /> 2630 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 w�fhin 180 days of the date of issuance,or if conswction 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 inspec[ions are '' <br /> requested in conformance with the State Building Code.This permit may be _ ������ <br /> revoked at any time for due cause. -- - <br /> ,� ' �, `'� ^ � ( C— <br /> :' ; , �,; � <br /> ''1 �� �t�� f � I 1 � I � <br /> Applicant Permitee Signatupre � Date Issued By Signature Date <br />