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CITY OF ORONO PERMIT NO.: 2011-00645 <br /> 2750 KELLEY PARKWAY <br /> , <br /> ORONO, MN 55356- �ATE [SSUED: 07/13/2011 <br /> ; (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3300 FOX ST <br /> PIN : OS-117-23-44-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1358 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 18,000.00 <br /> NO'fE: 1 LENNOX NAT. GAS FURNACE <br /> 1 LENNOX 1.5 TON AC <br /> 1 SAMSUNG 1 TON AC <br /> 1 K[TCHEN GXHAUST <br /> 1 BATH EXHAUST <br /> APPLICANT MECHAN[CAL 225.00 <br /> SAYER HEAT[NG&AC STATE SURCHARGE MECH(VALUATION) 9.00 <br /> 3354 HUMBOLDT AVENUE S. <br /> MINNEAPOLIS, MN 55408- MAIL-IN FEE 2.00 <br /> MISC FEE 0.00 <br /> TOTAL 236.00 <br /> OWNER <br /> TRUBECK, WILLIAM &JUDITH <br /> 3300 FOX ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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[3uilding 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. AII 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[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�causc. <br /> ��.� �-�^ i i D"yna-� i i <br /> Applicant Permitee Signature Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />