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� ' � CITY OF ORONO � <br /> * 2 0 1 2 - P1 1 Z 7 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUGll: l2/31/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> IZI�;PIZIN"CED ON 12/31/2012 <br /> ADDRESS : 1860 FOX ST <br /> PIN : 03-117-23-42-0016 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 15,085.00 <br /> NOTE: (1)HEATING SYS"CEM-BRYANT-NATURAL GAS-3° FLUE- 100.000 INPUT(3TU'S,92,000 OU"IPUT[3TU'S, 1600 CTYI <br /> (1)COOLING SYSTGM-BRYANT-4 TON <br /> (1)KITCHEN EXHAUST <br /> (4)BATH EXHAUSTS <br /> APPLICANT <br /> MECHANICAL 188.56 <br /> SABRE HEATING & AIR COND INC. STATE SURCHARGE MECH (VALUATION) 7.54 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 TOTAL 198.10 <br /> PAID WITH CC# 1207 <br /> OWNER <br /> OLSON, MICHAEL&JENNIFER <br /> 3924 UPTON AVE S <br /> MINNEAPOLIS, MN 55410- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for���hich this pennit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work described and docs <br /> no;orant permission for additional or related work���hich requires separate <br /> permits. All provisions of laws and ordinances governina this type of�vork <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 afler work has commenced. <br /> The applicant is responsible for assurine all required inspections are <br /> requested in conformance with the State I3uilding Code.This pennit may be <br /> revoked at any time for due cause. <br /> � G� / � v� �l /�-- ���V u-�i� � l �� l� � <br /> Applicant Permitec Si alure Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />