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1 <br /> .� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - PJ 0 3 2 3 * <br /> DATE ISSUED: 04/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2620 FOX ST <br /> PIN : 04-117-23-42-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCI< 000 <br /> PF.RMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 200.00 <br /> NOTE: RI:LOCn�I�ING(1)Rt�:"I�URN VENT <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.10 <br /> JAFFRAY, MR. & MRS. TOTAL SO.lO <br /> 2620 FOX ST <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 6075 50.10 <br /> OWNER <br /> JAFFRAY, MR. & MRS. <br /> 2620 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for tifiich this permit is issued shall be perfonncd according to <br /> the Tpprovcd plans and specifications,applicablc City approvals,and the <br /> State Building Code. 'I�his permit is for only the work described and does <br /> not grant pennission 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 tbr a period of 180 days at any time afrer H�ork has commenced. <br /> l�he applicant is responsible for assuring all required inspections are <br /> requested in conformance���ith thc State Ruilding Code.This permit may bc <br /> revoked at any time tbr due cause. <br /> � ,g J - I�., ��-1 � � <br /> Applicant Per 'tee Signature Date Issue I3y Signature Date <br />