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` CITY OF ORONO * z 0 1 z - 0 1 1 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U08/2012 <br /> t ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3435 CRYSTAL BAY RD <br /> PIN : 17-117-23-43-0120 <br /> LEGAL DESC : W[LEYS PARK LAKE MTKA <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS I <br /> VALUATION : $ 3,400.00 <br /> NO"I'I;: 1 CARRIER Nn"I�URAL GAS FURNACE <br /> , <br /> � <br /> APPLICANT MECHAN ICAL 50.00 <br /> CENTER POINT ENERGY M[NNEGASCO STATE SURCHARGE MECH(VALUATION) 1.70 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS, MN 55433 TOTAL 53.70 <br /> (763)757-6202 <br /> OWNER <br /> BROWN, SCOTT <br /> 3435 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performcd 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 /> eonunenced 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 wiU�the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitce Signature Date Issued E3y ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />