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� CITY OF ORONO PERMIT NO.: 2009-00145 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [SSUED: 04/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2240 BAYVIEW PL <br /> PIN : 17-117-23-44-0042 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 039 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATION : $ 1,000.00 <br /> APPLICANT MECHANICAL 50.00 <br /> CLARK HEAT(NG AND AIR COND STATE SURCHARGE MECH (VALUATION) 0.50 <br /> 15688 150TH AVE. TOTAL 50.50 <br /> FORESTON, MN 56330 <br /> (320)980-4796 <br /> OWNER <br /> BRASSINGTON, MICHELLE <br /> 2240 BAYVIEW PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performcd according to <br /> thc 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 /> penni[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whethcr or not specitied 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 /> suspcndcd ibr a period of I 80 days at anq 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 /> rev� ed at any time f r due cause. <br /> � _..._-� � % / / Q � / /� <br /> A icant Permitee Signature Date Is e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />