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CITY OF ORONO PERMIT NO.: 2009-00748 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3670 TOGO RD <br /> PIN 17-117-23-31-0032 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 004 BLOCK 010 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,425.00 <br /> NOTE: 1 GOODMAN NAT.GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> DEPENDABLE INDOOR AIR QUAILITY STATE SURCHARGE MECH(VALUATION) 1.71 <br /> 2619 COON RAPIDS BLVD <br /> COON RAPIDS,MN 55433 MAIL-IN FEE 2.00 <br /> (612)757-5040.,_ MISC FEE 0.00 <br /> TOTAL 53.71 <br /> OWNER PAID WITH CC# 4208 <br /> VINJE,LISA <br /> 3670 TOGO RD <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 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 <br /> �for <br /> r due cause. <br /> tz <br /> Applicant Permitee Signature Date Issued By SigUature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />