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� ' CITY OF ORONO PERMIT NO.: 2009-00197 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 08/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 165 CRISTOFOR[ CIR <br /> PIN : 31-118-23-43-0014 <br /> LEGAL DESC : CRISTOFORI WOODS <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 25,700.00 <br /> NOTE: GEOTHERMAL SYSTEM <br /> 2 CARRIER NAT. GAS HEATING SYSTEMS <br /> 2 WATERFURNACE ELECTRIC HEATING SYSTEMS <br /> 2 WATER FURNACE 4 TON COOLING SYSTEM <br /> GAS LINE TO REGAS FURNACES <br /> APPLICANT MECHANICAL 321.25 <br /> UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 12.85 <br /> 5115 INDUSTRIAL STREET <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 <br /> (763)479-6325 TOTAL 336.10 <br /> OWNER <br /> LESSER,J R&J K <br /> 165 CRISTOFORI CIR <br /> MAPLE PLAIN, MN 55359 <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 /> no[grant permission for additional or rela[ed 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 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 /> 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 /> revoked at any time for due cause. <br /> ���2-a�f � l l l l <br /> Applicant Permitee Signature . Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCWBED ABO . <br />