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w <br /> , CITY OF ORONO * Z 0 1 5 — 0 1 5 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 FOX ST <br /> PIN : 02-117-23-31-0009 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,575.00 <br /> NOTE: RGPLACE HEATING SYSTEM(CARRIER) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.79 <br /> RESIDENT[AL HEAT[NG&AIR, [NC. MAIL-IN FEE 2.00 <br /> 1815 EAST 41ST STREET SUITE A <br /> M[NNEAPOLIS,MN 55407- TOTAL 53.79 <br /> (612)724-1899 Payment(s) <br /> Minnesota State License#: mech-003627 CHECK 26823 53.79 <br /> OWNER <br /> BARRON,ER[C <br /> 1380 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT 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 /> Sta[e Building Code. This permit is for only the work described and does <br /> no[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 cons[ruction 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 /> i <br /> �' ,'�.,t �`:�' �� �'i,�� �� � /) /���c�.-�� C' �� '/L z / `� //`� <br /> Applicant Permite Signature Date [ssued By Signa ure Date <br />