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, ` � ' CITY OF ORONO <br /> * z PJ 1 4 — 0 0 5 2 9 * <br /> 2750 KELLEY PARKWAY nATE [SSUEn: OS/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1406 BOHNS POINT RD <br /> P[N : 09-117-23-33-0015 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 10,000.00 <br /> NOTr;: � sP�cr:PaR�c. <br /> 1 LENNOX 3 "I'ON AC <br /> APPLICANT MECHANICAL 125.00 <br /> STATE SURCHARGE MECH (VALUATION) 5.00 <br /> SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- TOTAL 132.00 <br /> (952)926-4488 Payment(s) <br /> CHECK 3615 132.00 <br /> OWNER <br /> STEWART, LARA <br /> 1406 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> .AGREEMENT AND SWORN STATEMENT <br /> "l�he 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 onl��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 conformanee with the State F3uilding Codc.This permit may be <br /> revoked at any time for due cau�e. <br /> / / <br /> Applicant Permitee Signaturc Date Issued By S'g ature Date <br />