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. CITY OF ORONO * Z 0 1 6 - 0 0 4 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2016 <br /> ' ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1310 ELMWOOD AVE <br /> PIN : 07-117-23-41-0021 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 003 BLOCK 006 <br /> PERMIT TYPE : MECHAMCAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,000.00 <br /> NOTE: (1)LENNOX FURNACE AND A/C <br /> APPLICANT MECHANICAL 87.50 <br /> STATE SURCHARGE MECH(VALUATION) 3.50 <br /> SAYLER HEATING&AC MAIL-IN FEE 2.00 <br /> 6800 WEST LAKE ST. <br /> ST. LOUIS PARK, MN 55426- TOTAL 93.00 <br /> (612)702-6622 Payment(s) <br /> CREDIT CARD 3833 93.00 <br /> OWNER <br /> ETAL,GORDON NELSON <br /> 1310 ELMWOOD AVE <br /> MOLJND,MN 55364 <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 hereia 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 at any time for due cause. <br /> � t� �� �� .s , , �.� <br /> Applicant Permitee Signatur Date Issued Signature Date <br />