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CITY OF ORONO PERMIT NO.: 2011-01458 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE lss[1En: 1U2U20ll <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1685 FOX ST <br /> PIN : 03-117-23-44-0004 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMiT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 3,480.00 <br /> NOTE: 1 GAS FY <br /> 1 KITCHEN EXHAUST <br /> 1 BATH EXI IAUST <br /> GAS LINE TO RANGE&DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH (VALUATION) 1.74 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- MA1L-IN FEE 2.00 <br /> (952)926-4488 MISC FEE 0.00 <br /> TOTAL 53.74 <br /> OWNER <br /> HORN[G, STEVEN <br /> 1685 FOX ST <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 thc <br /> State Building Code. This permit is for only the work described and docs <br /> not grant pennission for additional or related work which requires separate <br /> permi[s. 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 airy 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�ue �ause. <br /> i��-[-C (�- l l �' l l <br /> Applicant Permitee Signature Date [ssued By i nature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A VE. <br />