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� , <br /> CITY OF ORONO * 2 0 1 3 - 0 0 1 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LEGAL DESC : NAVARRE HEIGNTS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 3,500.00 <br /> NOTE: (1)DAY&NIGHT HEATING SYSTEM-NATURAL GAS-2" FLUE-60,000 INPIT-55,700 OU'I'PUT-800 CFM <br /> (1)DAY&NIGHT COOLING SYSTEM- I/]2 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> COUNTRYSIDE SERVICES STATE SURCHARGE MECH(VALUATION) 1.75 <br /> 6511 HWY 12 <br /> MAPLE PLA1N, MN 55359 MAIL-IN FEE 2.00 <br /> (763)479-1600 TOTAL 53.75 <br /> PAID WITH CC# 1067 <br /> OWNER <br /> GULLICKSON, FRITZ <br /> 3443 CRYSTAL PL <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 /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein."i'his 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 tbr a period of 180 days at any time atter work has commenced. <br /> 'rhe applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revokec� ny[ime for due caus� � � ��� <br /> � �� � � r3 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />