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' ~ CITY OF ORONO * z 0 1 z — ra 1 0 5 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2250 FRENCH CREEK CIR <br /> PIN : 10-117-23-32-0003 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,000.00 <br /> NOTI:: (1)LENNOX 1 II;ATING SYSTEM-MODH;1,GL296UH -GAS -90,000 INPUI'AND 86,400 OUTPUT <br /> APPLICANT MECHAMCAL 62.50 <br /> GOLDEN VALLEY HEATING&A[R STATE SURCHARGE MECH (VALUATION) 2.50 <br /> 5182 WEST BROADWAY <br /> CRYSTAL, MN 55429- MAIL-IN FEE 2.00 <br /> (612)535-2000 TOTAL 67.00 <br /> PAID WITH CC# 7420 <br /> OWNER <br /> AASHEIM & ALMA FERNANDEZ VERDLIZCO, TOR <br /> 2250 FRENCH CREEK CIR <br /> �VAYZATA, 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[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 tate Building Code.This permit may be <br /> revoked at y it me for due au� <br /> lv� l C � G � �1/(,A..—�t� ��l ��'1 / � i�'� <br /> Applicant ermitee Sign Date Iss d E3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />