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CITY OF ORONO <br /> * 2012 - 01066 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/ /2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2485 THOROUGHBRED LA <br /> PIN : 04-117-23-11-0019 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,500.00 <br /> NOTE: 1 CARRIER NAT GAS FURNACE <br /> 1 CARRIER 5 TON AC <br /> APPLICANT MECHANICAL 106.25 <br /> CENTER POINT ENERGY MINNEGASCO <br /> 9320 EVERGREEN BLVD NW STATE SURCHARGE MECH(VALUATION) 4.25 <br /> SUITE B MAIL-IN FEE00 <br /> COON RAPIDS,MN 55433 TOTAL 11.50 <br /> (763)757-6202 <br /> OWNER <br /> LUNDBERG,JAMES&CARRIE <br /> 2485 THOROUGHBRED LA <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 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 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 State Building Code.This permit may be <br /> revoked at any time for due cause! <br /> CIA <br /> Applicant Permitee Signature Date Is <br /> sued y S ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABIOVE. <br />