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- CITY OF ORONO PERMIT NO.: 200�-00�26 <br /> ,, 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: OS/12/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2509 KELLY AVE <br /> PIN : 20-117-23-12-0037 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1428 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: 1 LENNOX FURNACE-GAS <br /> 1 LENNOX COOLING SYSTEM-2 TON <br /> APPLICANT MECHANICAL 75.00 <br /> KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.00 <br /> 6365 CARLSON DRIVE SUITE G <br /> EDEN PRIAIRE,MN 55346 MAIL-IN FEE 1.50 <br /> (612)941-4211 TOTAL 79.50 <br /> OWNER <br /> NADLER,CHARLES&CANDICE <br /> 2509 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 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 a period of 180 days at any time after work has commenced. <br /> 1'he 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 ca�se. <br /> `�Y�� l/r�- � � �; Zr � <br /> Applicant Permitee Signature Date Issue B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ABOVE. <br />