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. <br /> CITY OF ORONO * 2 0 1 4 - PJ 0 0 4 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: O1/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 885 FERNDALE RD W <br /> PIN : 02-117-23-44-0007 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 184 <br /> : LOT 105 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 5,000.00 <br /> NO"I�t?: ? LENNOX NA�I�GAS FURNnC1:S <br /> APPLICANT MECHANICAL 62.50 <br /> STATE SURCHARGE MECH (VALUATION) 2.50 <br /> SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBR[DGE ST <br /> ST. LOUIS PARK, MN 55416- TOTAL 67.00 <br /> (952)926-4488 Payment(s) <br /> CHECK 3520 67.00 <br /> OWNER <br /> WOODHOUSE, KIRT <br /> 885 FERNDALE RD W <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which diis permit is issued shall be pert�ormed according to <br /> ,� <br /> the approved plans and specitications,applicable City approvals,and the <br /> S[ate Building Code. This permit is t�or only die 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 typc of work <br /> shall be compied with whether or not speciYied herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuancc,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requested in confom�ance w�ith the State E3uilding Code.This pennit may be <br /> revoked at any time for due cause. <br /> 1 V�'�M, l l <br /> � <br /> Applicant Pennitee Signature Date [ssucd 13y Sign w�e Date <br />