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� ' CITY OF ORONO PERMIT NO.: 2009-00197 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 165 CRISTOFOR[ CIR PIN : 31-118-23-43-0014 LEGAL DESC : CRISTOFORI WOODS : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 25,700.00 NOTE: GEOTHERMAL SYSTEM 2 CARRIER NAT. GAS HEATING SYSTEMS 2 WATERFURNACE ELECTRIC HEATING SYSTEMS 2 WATER FURNACE 4 TON COOLING SYSTEM GAS LINE TO REGAS FURNACES APPLICANT MECHANICAL 321.25 UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 12.85 5115 INDUSTRIAL STREET MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 (763)479-6325 TOTAL 336.10 OWNER LESSER,J R&J K 165 CRISTOFORI CIR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��2-a�f � l l l l Applicant Permitee Signature . Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCWBED ABO .