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CITY OF ORONO * Z 0 1 5 - 0 1 4 5 7 * <br /> ''` 2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2015 <br /> � ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1125 HiJNTER DR <br /> PIN : 25-118-23-31-0004 <br /> LEGAL DESC : TEN OAKS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,500.00 � <br /> NOTE: (1)LENNOX NATURAL GAS FURNACE <br /> (1)BATH EXHAUST <br /> GASLINE FOR GAS FURNACE / <br /> I <br /> APPLICANT MECHANICAL 168.75 <br /> STATE SURCHARGE MECH(VALUATION) 6.75 <br /> HOLLYWOOD HEATING&AIR INC. <br /> 3390 COLJNTY RD 123 TOTAL 175.50 <br /> WATERTOWN,MN 55388- Payment(s) <br /> CHECK 4884 175.50 <br /> OWNER <br /> PERRY;CHRISTOPHER&KELLY <br /> 1125 HLTNTER DR <br /> WAYZATA,MN 55391- <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 Iaws and ordinances goveming 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 eriod of 180 days at any time after work has commenced. <br /> The applic �s responsible for assuring all required inspections are <br /> requeste ' conformance with the State Building Code.This permit may be <br /> revoke any time for due ca <br /> �� 7 -�!r � / / /�/� <br /> can e ' e ate Issued ignature Date <br />