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� CITY OF ORONO PERM�T�vo.: 2o11-oi33o <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 10/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1540 FOX ST <br /> PIN : 02-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE <br /> VALUATION : $ 8,500.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 1 LENNOX 4"I'ON AC <br /> ✓ <br /> APPLICANT MECHANICAL 106.25 <br /> SELECT MECHAN[CAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 4.25 <br /> 6219 CAMBRIDGE ST TOTAL 110.50 <br /> ST. LOUIS PARK, MN 55416- <br /> (952)926-4488 <br /> OWNER <br /> WEYERHAEUSER, DAVID&ELIZABETH <br /> 30 EAST 7TH ST#2000 <br /> ST. PAUL, MN 55101- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perrnit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permi[is for only the work describcd 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in co�,formance,,�vith�tie Stat/�3�1 g Code.This permit may be <br /> revoked at�an�hime fov�uk c�tise. f � <br /> (_!,�.ti„ �"�`--,~.�-�'.�' /,�� �� � 11 <br /> � � <br /> A plicant Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />