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°� CITY OF ORONO PERMIT NO.: 2010-00256 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuEn: 04/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3205 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-001 1 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,000.00 <br /> NO"l�F;: ADDING IN-FLOOR HEAT WITH ELECTRIC MINI-130ILER. ALSO NGW DUC"C WORK TO EXISTING SYSTEM. <br /> APPLICAI�'T MECHAN[CAL 62.50 <br /> BEN SCHORER PLUMBING & HVAC INC. STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 4520 85TH STREET SE TOTAL 65.00 <br /> DELANO, MN 55328- <br /> (763)972-8137 <br /> OWNER <br /> ANDERSON, RICHARD <br /> 3205 CRYSTAL BAY RD <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 requires 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 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[ime for due cause. G�✓ <br /> �� /�� ��--�£_ L�'rt Ce./'! � ���3 -�' <br /> A�cant ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />