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CITY OF ORONO PERMIT NO.: 2012-00042 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/18/2012 952 249-4600 FAX: 952 249-4616 ADDRESS 3710 TOGO RD PIN 17-117-23-31-0027 1 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 003 BLOCK 010 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 8,000.00 NOTE: (1)HEATING SYSTEM-DAY&NIGHT-C9MPX060-NATURAL GAS-2"PVC-60,000 INPUT,57,000 OUTPUT, 1000 CFM (1)COOLING SYSTEM-DAY&NIGHT-C4A324-2 TONS-2 H.POWER (1)BATH EXHAUST-75 CFM GASLINE TO THE FIREPLACE IN BASEMENT AND DRYER APPLICANT MECHANICAL 100.00 MASTER HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.00 4963 70TH AVENUE LORETTO,MN 55357 TOTAL 104.00 (763)498-7883 PAID WITH CC# 6939 OWNER LINDQUIST,LINDA 3710 TOGO RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo any timer ue cause. Applicant Permitee Signature Date Is i By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.