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CITY OF ORONO PERMIT NO.: 2010-00953 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3240 WATERTOWN RD <br /> PIN 32-118-23-44-0017 <br /> LEGAL DESC SENN ORONO ADDITION <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 2,250.00 <br /> NOTE: (1)4.5 ELECTRIC MINI BOILER-INFLOOR HEAT <br /> APPLICANT MECHANICAL 50.00 <br /> EXCEL MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 11582 COUNTY RD 13 TOTAL 55.00 <br /> WATERTOWN,MN 55388 <br /> (952)393-2403 PAID WITH CC# 0239 <br /> OWNER <br /> JURAN,DAVID&SHEILA <br /> 3240 WATERTOWN RD <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' conformance with the State Building Code.This permit maybe <br /> revoke t any time for due cause. <br /> plicant Permitee Signature Date 4ed!�B-ySignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />