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CITY OF ORONO PERMIT NO.: 2oii-oo2o3 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssUED: 04/08/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2745 KELLY AVE <br /> PIN : 21-117-23-23-0028 <br /> LEGAL DESC : REG.LAND SURVEY NO. 0891 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,652.32 <br /> NOTE: (1)LENNOX HEATING SYSTEM <br /> MODEL-SL280UH090V48B-NATURAL GAS-4"FLUE-88,000 INPUT BTU'S,70,400 OUTPUT BTU'S,2,400 CFM <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> ADVANCED AIR&FIRE STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 6724 KINGSTON DR. TOTAL 55.00 <br /> EDEN PRAIRIE,MN 55346 <br /> (952)448-4769 PAID WITH CC# 8991 <br /> OWNER <br /> WOOD,JAY&BARBARA <br /> 2745 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke any time for d cause. <br /> ' � / / � � � / ' <br /> G <br /> icant ermitee S' ure Date Issued B Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />