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` ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 3 7 2 * <br /> DATE ISSUED: 10/27/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 951 SPRING HILL RD <br /> PIN : 26-118-23-44-0002 <br /> LEGAL DESC : UNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,015.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)LENNOX FURNACE <br /> APPLICANT MECHANICAL 62.69 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 1408 NORTHLAND DR-SUITE 310 M�IL-IN FEE 2.00 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 67.19 <br /> (952)881-9000 Payment(s) <br /> CHECK 17134 67.19 <br /> OWI�TER <br /> &JOANNE PASTEL ET AL TRUST,BILL DUNLAP <br /> 951 SPRING HILL RD <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 Iaws 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 ifconstruction 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.1'his permit may be <br /> revoked at any time for due cause. <br /> �-�/V�G.0 ��C) . S� /n� Z7 � l� <br /> Applicant Permitee Signature Date Issued Signature Date <br />