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CITY OF ORONO PERMIT NO.: 2010-00674 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356— DATE �SSUEu: OS/OS/2010 <br /> s 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2515 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0007 <br /> LEGAL DESC : COUNTRYSIDE MANOR <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 25,000.00 <br /> NOTE: 3 HEATING SYSTGMS,2 COOLING SYSTEMS,VENTALATION,&2 GAS LINES <br /> APPLICANT MECHANICAL 312.50 <br /> LITTLE IGLOO H.V.A.C. STATE SURCHARGE MECH(VALUATION) 12.50 <br /> 1829 135TH AVE <br /> ANDOVER, MN 55304 TOTAL 325.00 <br /> (612)636-0500 PAID WITH CC# 9982 <br /> OWNER <br /> KAHLER, CHRIS&DELPHINE <br /> 2515 COUNTRYSIDE DR <br /> LONG LAKE, MN 55356- <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 sepazate <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 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 inspec[ions are <br /> requeste co formance with the State Building Code.This permit may be <br /> revoked a any ime for due cause. �� <br /> � ,� <br /> �/ 7 / I C.� �.�,�,�'C� G�l�Ct.l? d`" rf` �"�_I U <br /> /- / / <br /> A plicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />