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CITY OF ORONO <br /> * 20 1 5 - 0 0 0 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 825 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-21-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 4,930.00 <br /> NOTE: (1)LENNOX FURANCE AND(1)LENNOX A/C <br /> APPLICANT MECHANICAL 61.63 <br /> STATE SURCHARGE MECH(VALUATION) 2.47 <br /> SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- TOTAL 66.10 <br /> (952)926-4488 Payment(s) <br /> CREDIT CARD 0353 66.10 <br /> OWNER <br /> DAYTON,JUDSON&ELIZABETH <br /> 121 S 8TH STREET#860 <br /> MINNEAPOLIS,MN 55402- <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 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 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 /> 6.71,L(Ab. 0" I ab /5 <br /> Applicant Permitee Signature Date Issued Signature Date <br />