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1111111 I'll 111111'11111 .II <br /> CITY OF ORONO * 2016 - 01296 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 465 ORONO ORCHARD RD S <br /> PIN : 02-117-23-32-0001 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,655.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE:HEATING SYSTEM(LENNOX) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.33 <br /> SELECT MECHANICAL SERVICES INC. TOTAL 51.33 <br /> 6219 CAMBRIDGE ST Payment(s) <br /> ST.LOUIS PARK,MN 55416- CREDIT CARD 4447 51.33 <br /> (952)926-4488 <br /> Minnesota State License#:mech-MB003390 <br /> OWNER <br /> HAMM,EDWARD <br /> 408 ST PETER ST#434 <br /> ST.PAUL,MN 55102- <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 within 180 days of the date of issuance,or if construction 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time ford e cause. <br /> 2/4 Applicant Permitee Signature ate Issued By Signature Date <br />