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, , CITY OF ORONO PERMIT NO.: 2009-00435 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 07/27/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3825 CHERRY AVE <br /> PIN : 08-117-23-33-0089 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,390.00 <br /> NOTE: <br /> HEATING SYSTEM-(1)LENNOX-GS IMP-090-NATURAL GAS-3"PVC-88,000 INPUT BTU'S-81,000 OUTPUT BTU'S <br /> COOLING SYSTEM-(1)LENNOX-XC13042-3 U2 TONS <br /> GASLINE FOR FIREPLACE,MAIN, FUTURE UNIT HEATER AND COOKTOP <br /> APPLICANT MECHANICAL 16738 <br /> SERBUS HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 6.70 <br /> 272INDUSTRIAL BLVD. <br /> WACONIA,MN 55387 TOTAL 174.08 <br /> (952)443-2819 <br /> Minnesota State License#: 00469 <br /> OWNER <br /> HERMAN,MATTHEW&AMY <br /> 3825 CHERRY AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he 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 /> r aJ,a y time for due cause. <br /> �� / 27 /� � � / / <br /> Ap lic�ht Permitee Signature Date I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />