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.� CITY OF ORONO PERMIT NO.: 2010-00067 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssuEn: 02/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2105 SUGARWOOD DR <br /> PIN : 34-1 l 8-23-21-00 l 7 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULT[PLE <br /> VALUATION : $ 22,000.00 <br /> NOTE: TH[S PERMITIS FOR A BO[LER AND INPLOOR HEA7': <br /> MAKE-LOCKINVAR-MODEL-KBN210 <br /> NATURAL GAS-FLUE SIZE-3" <br /> 210,000 INUT BTU'S <br /> 199.500 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 275.00 <br /> B& D PLUMBING& HEATING INC. STATE SURCHARGE MECH (VALUAT[ON) l 1.00 <br /> 4145 MACKENZIE CONST TOTAL 286.00 <br /> MN 55376- <br /> �) <br /> OWNER <br /> SMITH, THOMAS& VIRG[NIA <br /> 2105 SUGARWOOD DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governii�g 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 conforman ith the State Building Code.This permit may be <br /> rev � ny for d ause. <br /> .�� -� � � �o � l o �� ��� �c7 <br /> Applicant Pennitee Signature Date �s � By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCR[BED ABOVE. <br />