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CITY OF ORONO PERMIT NO.: 2009-00502 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/25/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 8/25/2009 <br /> ADDRESS : 70 WEAR LA <br /> PIN : 04-117-23-21-0019 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 30,000.00 <br /> NOTE: GEOTHERMAL-(1)HEATING/COOLING SYSTEM-HYDRONE MODULE-H06211-5-TON-2000 CFM <br /> (1)KITCHEN EXHAUST-300 CFM <br /> (2)BATH EXHAUST-60 CFM <br /> GASLINE FOR OUTDOOR GRILL,DRYER AND RANGE <br /> APPLICANT MECHANICAL 375.00 <br /> A R ENGH HEATING&A/C STATE SURCHARGE MECH(VALUATION) 15.00 <br /> 7182 NORLING AVE SW <br /> 55321- <br /> TOTAL 390.00 <br /> (612)227-9561 PAID WITH CC# 5800 <br /> OWNER <br /> PFEIFFER,JASON&JONI <br /> P.O. BOX 196 <br /> CRYSTAL BAY,MN 55323- <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. q / <br /> Applicant Permi ee Signature /Date / 4/.4 / F/ / / D <br /> . -d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />