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CITY OF ORONO PERMIT NO.: 2009-00272 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssuEu: 06/02/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2265 BLAINE AVE <br /> PIN : 17-117-23-34-0024 <br /> LEGAL DESC : NAVARRO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,300.00 <br /> NOTG: 1 CARRIER NATURAL GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> J.T.S. HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.15 <br /> P.O. BOX 1101 TOTAL 51.15 <br /> FOREST LAKE, MN 55025- <br /> OWNER <br /> HOLT,CRYSTAL <br /> 2265 BLAINE AVE <br /> WAYZATA, MN 55391- <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 requices 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 au[horized is not <br /> commenced within 180 days of the date of issuancc,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> �'he appl4�t is responsil�le for ssuring all required inspections are <br /> r�,questedti onformance���with t�i State Building Code.This permit may be <br /> revoked at `time for du�causA�. \ n <br /> � n �� ``�� , `�, / / �(�-�' <br /> / / <br /> Ap� ican r itee Signatut�e Date Issued B ignature Date <br /> �. SEPARA PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />