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CITY OF ORONO PERMIT NO.: 2009-00851 <br /> 2750 KELLEY PARKWAY <br /> , ; ORONO, MN 55356- DATE ISSUEn: 1U30/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2490 CASCO POINT RD <br /> PIN : 20-117-23-21-0036 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 25,050.00 <br /> NOTE: GEO THERMAL-HYDRON MODULG <br /> APPLICANT MECHANICAL 313.13 <br /> A R ENGH HEATING&A/C STATE SURCHARGE MECH(VALUATION) 12.53 <br /> 7182 NORLING AVE SW <br /> COKATO, MN 55321- TOTAL 325.66 <br /> (612)227-9561 PAID WITH CC# 5300 <br /> OWNER <br /> CHERNEVSKAYA-YURCHENKO,NATALYE&IGOR <br /> 2490 CASCO POINT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which[his 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 /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type ot�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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime 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. �/'� � � _ J� _(�.� <br /> — !! � �Cj � p� � � <br /> Applicant Permitee Signature Date � ��� � � ������� � � � <br /> Issued By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />