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CITY OF ORONO * 2 0 1 5 - 0 0 1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1000 WILLOW DR S <br /> PIN : 10-117-23-21-0004 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 8,000.00 <br /> NOTE: (1)LENNOX FURNACE <br /> (1)LENNOX A/C UNIT <br /> (3)BATH EXHAUST <br /> GASLINE FOR MAIN AND(2)FIREPLACES <br /> APPLICANT MECHANICAL 100.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.00 <br /> ALPHA MECHANICAL SERVICES TOTAL 104.00 <br /> 4173 HAZEL STREET Payment(s) <br /> WHITE BEAR LAKE,MN 55110 CHECK 3128 104.00 <br /> (651)755-2648 <br /> OWNER <br /> KLOMBIES,LINDSAY&ANNA <br /> 1000 WILLOW DR S <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 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 conformance with the State Building Code.This permit may be <br /> revoked t any time for due cause. C� <br /> Applicant Permite ignature Date Issu By Signature Date <br />