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, � CITY OF ORONO PERMIT NO.: 2010-01072 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEu: 1U0U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 250 CYGNET PL <br /> PIN : 04-117-23-23-0018 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 009 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 6,450.00 <br /> NOTI;: 1�EA"CING SYSTEM-(1)CARRIER-NATURAL GAS-2" PVC FLUG <br /> COOLING SYSTEM-(1)CARRIER-2 TONS <br /> APPLICANT MECHANICAL 80.63 <br /> DITTER INC. STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 820 TOWER DRIVE <br /> MEDINA, MN 55340 TOTAL 85.63 <br /> (763)478-9558 PAID WITH CC# OOSI <br /> OWNER <br /> BROWNLEE, MR. & MRS. JAMES <br /> 250 CYGNET PL <br /> LONG LAKE, MN 55356 <br /> AGREEMEI�IT AND SWORN STATEMENT <br /> "I�he work for�vhich�his permi[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 rela[ed work which rcquires 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 conYormance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��,J r {•"' <br /> <1' iL.�r—�:�� � %l / v� l %� �— �� � � / l /� <br /> Appli�ant ermrt e Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />