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CITY OF ORONO PERMIT NO.: 2010-01049 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSi1ED: 10/26/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 670 BIG ISLAND <br /> PIN : 22-117-23-24-0011 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULT[PLE <br /> VALUATION : $ 8,200.00 <br /> NOTE: 1 RHEEM GLECTRIC HGATING SYSTEM <br /> 1 RHEEM 2.�TON AC <br /> APPLICANT MECHANICAL 102.50 <br /> C&C HVAC INC. STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 16730 242ND AVE. NW <br /> BIG LAKE, MN 55309- TOTAL 107.50 <br /> (320)963-2071 <br /> OWNER <br /> BRYSON II &THELMA, WILLIAM <br /> 3082 WILLOW DRNE <br /> MEDINA, MN 55340- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 typc of work <br /> shall be compied with whether or not specitied 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 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 /> revoke t yme f�or�d�e�cause. <br /> � y�I��!�--� �o � �� � l� �� <br /> Applicant Permitee Signature Date � � <br /> Issued By i ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />