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i �' CITY OF ORONO <br /> * 2 0 1 5 - 0 1 4 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: lUl8/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3600 LNINGSTON AVE <br /> PIN : 17-117-23-34-0026 <br /> LEGAL DESC : NAVARRO <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE RESIDEI�TIAL <br /> ��nc'c-'� ��<<3 <br /> CONSTRUCTION TYPE : �'-�S-I�IULTIPLE <br /> VALUATION : $ 7,855.00 <br /> NOTE: (1)LENNOX FURNACE AND(1)LENNOX A/C UNIT <br /> APPLICANT MECHANICAL 98.19 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 3.93 <br /> 1408 NORTHLAND DR- SUITE 310 MAIL-IN FEE 2.00 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 104.12 <br /> (952)881-9000 Payment(s) <br /> CHECK 16198 104.12 <br /> OWNER <br /> GRIMM, MARIE <br /> 3600 LIVINGSTON AVE <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 specifica[ions,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 separa[e <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 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[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> /l i/� i.�5 <br /> Applicant Pe ' ee Signature Date ssued y Signature Date <br />