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CITY OF ORONO * z 0 1 7 - 0 0 1 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2555 FOX ST <br /> PIIV : 04-117-23-44-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 229 <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,983.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. <br /> LENNOX NA7�URAL GAS FURNACE-4 TON CFM- 1 10,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> ABEL HEATING&COOLING MAIL-IN FEE 2.00 <br /> 6501 COUNTY RD 15 <br /> MINNETRISTA, MN 55364- TOTAL 53.50 <br /> (952)472-2665 Payment(s) <br /> Minnesota State License#: mech-MB003400 CHECK 21746 53.50 <br /> OWNER <br /> GRUDNOWSKI,JOHN &ASHTON <br /> 2555 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'Chc work for which Ihis permit is issued shall be performed according to <br /> the approved plans and specifications,applicablc Ciry approvals,and the <br /> State Building Code. This permit is for only[he 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 afrer 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 /> <,_ _ .� <br /> ,��. S� � �� 7�/ <br /> __ =�_____.---_____ <br /> Applicant Permite � nature Date Issued By ignature Date <br />