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CITY OF ORONO PERMIT NO.: 2010-01125 <br /> 1 2750 KELLEY PARKWAY <br /> � � ORONO, MN 55356- DATF. ISSUED: 1 U17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3403 EASTLAKE ST <br /> P[N : OS-117-23-14-0060 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT OOl BLOCK 008 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,000.00 <br /> NOTG: 1 LGNNOX NAT GAS FURNACE <br /> APPLICANT MECHANICAL 62.50 <br /> J & S MECHANICAL, INC. STATE SURCHARGE MECH VALUATION 5.00 <br /> P.O. BOX 128 � � <br /> WATERTOWN, MN 55388 TOTAL 67.50 <br /> (952)955-2627 <br /> OWNER <br /> � WHITMORE, KAYLEN <br /> � 3403 EASTLAKE ST <br /> � LONG LAKE, MN 55356- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> I�he work for�vhich this permit is issued shall be performed accordin2 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 pennission 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 /> 'I he applicant is responsible for assuring all required inspections are <br /> �� requestcd in conforniance with the State Building Code.This pennit may be <br /> ��� revoked at any time tor d e cause. <br /> '���� � ll/ l��i/ <br /> � �ti< � � <br /> ppli�ant P itee Signature Dale Issued By, i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED AB E. <br />