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CITY OF ORONO PERMIT NO.: 2010-00058 <br /> 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUED: 02/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 5 BROWN RD S <br /> PIN : 34-118-23-34-0009 <br /> LEGAL DESC : UNPLATTED 34 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,800.00 <br /> NOTG: 1 RUUD NATURAL GAS <br /> APPLICANT MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUAT[ON) 1.40 <br /> 9320 EVERGREEN BLVD-SUITE B <br /> COON RAPIDS, MN 55433 MAIL-IN FEE 2.00 <br /> (763)757-6202 MISC FEE 0.00 <br /> TOTAL 53.40 <br /> OWNER <br /> MATHISON, BRUCE <br /> 5 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This pemiit 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 no[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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />