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CITY OF ORONO * 2 0 1 4 - P1 1 3 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/25/2014 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AI�DRESS : 3350 FOX ST <br /> PIN : OS-117-23-44-0008 <br /> LEGAL DESC : FULLERTON ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 925.00 <br /> NOTE: 2 BATH EXHAUST&GAS LINE FP <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.46 <br /> HEATING& COOLING TWO INC. TOTAL 50.46 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- Payment(s) <br /> (763)428-3677 CREDIT CARD 4334 50.46 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 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 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 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 1 SO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,-��, w � P� � � C�,�- 1 ( ��6�� � <br /> Applicant Permitee Signature Date Issued y Signature Date � � <br /> I <br />