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CITY OF ORONO PERMIT NO.: 2009-00259 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/27/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4720 WATERTOWN RD <br /> PIN : 31-118-23-22-0005 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 15,000.00 <br /> NOTE: 1 CARRIER L.P.GAS HEATING SYSTEM <br /> 1 WATERFURNACE 4 T COOLING SYSTEM <br /> APPLICANT MECHANICAL 187.50 <br /> UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 7.50 <br /> 5115 INDUSTRIAL STREET <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 <br /> (763)479-6325 TOTAL 197.00 <br /> OWNER <br /> MEHAFFEY,MILES&CATHERINE <br /> 4720 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 goveming 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 ause. <br /> 7 <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />