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� CITY OF ORONO PERMIT NO.: 2oiaoiisa <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 12/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2160 SIXTH AVE N <br /> PIN : 27-118-23-31-0017 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> ` CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,963.00 <br /> NOTE: 1 BRYANT GAS FURNACE <br /> APPLICANT MECHAMCAL 74.54 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00 <br /> (952)835-7777 MISC FEE 0.00 <br /> TOTAL 81.54 <br /> OWIYER PAID WITH CC# 2284 <br /> SCHERER,KEVIN <br /> 2160 SIXTH AVE N <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <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 /> 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 foEdue cauSe. <br /> �%�Z,� �l i � i i <br /> Applicant Permrtee Signature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />