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, CITY OF ORONO * z 0 1 3 - 0 1 3 PJ 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AllDRESS : 1540 FOX ST <br /> PIN : 02-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 02 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,990.00 <br /> NO'f1:; RELINI�."�HI�: I:XISTI'.VG CHIMNI'Y <br /> APPLICANT MECHANICAL 87.38 <br /> STATE SURCHARGE MECH (VALUATION) 3.50 <br /> JACK PIXLEY SWEEPS ING MAIL-IN FEE 2.00 <br /> 4179 149TH AVE. NW TOTAL 92.88 <br /> ANDOVER, MN 55304 <br /> (763)422-001 l Payment(s) <br /> Minnesota State License#: BUIL-BC183369 CREDIT CARD 9627 92.88 <br /> OWNER <br /> WEYERHAEUSER, DAVID& ELIZABETH <br /> 30 EAST 7TH ST#2000 <br /> ST. PAUL, MN 55101- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'hc work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I�his 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 o1�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 I SO days at any time tifter work has commenced. <br /> The applicant is responsible for assuring all rcquired inspections are <br /> requcsted in confi�rmance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��ll •`.c^-"^ _/ l l <br /> Applicant Permitce Signature Date Issued [3��Si alure �� Date <br /> / <br />