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� CITY OF ORONO PERMIT NO.: 2009-00647 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 09/29/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3477 CRYSTAL PL <br /> PIN : 17-117-23-43-0010 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,089.00 <br /> NOTE: LENNOX GAS}tEA"1'ING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> ADVANCBD AIR& F[RE STATE SURCHARGE MECH(VALUATION) 1.04 <br /> 67�4 KINGSTON DR. <br /> EDEN PRAIRIE, MN 55346 MA[L-IN FEE 2.00 <br /> (952)448-4769 MISC FEE 0.00 <br /> TOTAL 53.04 <br /> OWNER <br /> WILLIS, DAN[EL <br /> 3477 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 specitications,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 applican[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 /> �(QiC.` �'yt l l l l <br /> Applicant Permitee Signature Date Issued By Si ture e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOV . <br />