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CITY OF ORONO PERMIT NO.: 2011-00168 <br /> . 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 03/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 110 SMITH AVE <br /> PIN : 02-117-23-21-0026 <br /> LEGAL DESC : ORONO ORCHARDS HIGHLANDS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,200.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 4 BATH EXHAUST <br /> 1 DRYER FAN <br /> GAS LINES TO FURNACE&WATER HEATER <br /> APPLICANT <br /> MECHANICAL 90.00 <br /> PERFECTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 1770 GERVAIS AVE <br /> MAPLEWOOD,MN 55109 MAIL-IN FEE 2.00 <br /> MISC FEE 0.00 <br /> TOTAL 97.00 <br /> PAID WITH CC# 2068 <br /> OWNER <br /> � FISK,JAMES <br /> 110 SMITH 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �'�11�Gc.��l 1/1�� � � l l <br /> � Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />