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w <br /> CITY OF ORONO 1111111111111111111111 lull 1111111111111111111111 <br /> * 2 0 1 4 — 0 0 0 7 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1850 FOX RIDGE RD <br /> PIN 03-117-23-13-0008 <br /> LEGAL DESC FOX RIDGE <br /> LOT 004 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 3,500.00 <br /> NOTE: (1)GOODMAN FURNACE-NATURAL GAS <br /> P <br /> l�Cdf4 <br /> PPLICANT MECHANICAL 50.00 <br /> B&B PLUMBING <br /> STATE SURCHARGE MECH(VALUATION) 1.75 <br /> ` <br /> 25593 109TH ST <br /> ZIMMERMAN, MN 55398- Payment(s) TOTAL 51.75 <br /> CASH 51.75 <br /> (612) 807-3706 <br /> OWNER <br /> STEPHENSON III ET AL, REVIS L <br /> 1850 FOX RIDGE RD <br /> LONG LAKE,MN 55356- <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 confla Building Code.This permit may be <br /> revoked at I e <br /> 'Ap—plicanT?err6itce Signature Z <br /> Date Issue y Signature Date <br />