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CITY OF ORONO PERMIT NO.: 2010-00008 <br /> � 2750 KELLEY PARKWAY <br /> f ORONO, MN 55356- DATE ISSUED: OU06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 915 BROWN RD N <br /> PIN : 27-118-23-34-0002 <br /> LEGAL DESC : UNPLATTED 27 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,000.00 <br /> NOTE: 1 RUUD NAT. GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> SHARP HEATING&AIR COND INC. <br /> 7221 UNIVERSITY AVE NE STATE SURCHARGE MECH(VALUATION) 1.00 <br /> FRIDLEY, MN 55432 MAIL-IN FEE 2.00 <br /> (763)572-0459 MISC FEE 0.00 <br /> TOTAL 53.00 <br /> OWNER <br /> LANE, MR. & MRS. THOMAS <br /> 915BROWNRDN <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORIV STATEMENT <br /> 'I�he work for which this permit is issued shall bc performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildin�Coda This permit is for only the work described and does <br /> not grant permission for additional or rclated 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 /> expirc and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or iCconstruction is <br /> suspended for a period of l80 days at any time afrer work has connnenced. <br /> Ihe 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. <br /> 1 - _ �n <br /> �..��VI.G�t� � / / �'{�-L`"_7'�,-- / <br /> Applicant Permitee Signature Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />