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CITY OF ORONO PERMIT NO.: 2009-00825 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 1U17/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-OOOI <br /> LEGAL DESC : REG. LAND SURVEY NO. ]098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE <br /> VALUATION : $ 5,800.00 <br /> NOTE: <br /> HEATING SYSTEM-(1)LENNOX-MODEL: G43UF-36B-45-NATURAL GAS-2" FLUF, <br /> 45,000 INPUT BTU'S,41,400 OUTPUT BTU'S-800 CFM <br /> COOLING SYSTEM-(1)LENNOX-MODEL: 13ACX-Ol8- 1-1/2 TONS <br /> (2)BATH EXHAUST AND(1)CLO"I'f iES DRYER FAN <br /> APPLICAI�TT MECHANICAL 72.50 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 2.90 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK,MN 55416- TOTAL 75.40 <br /> (952)926-4488 <br /> OWNER <br /> CUSICK, MR. & MRS. THOMAS <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark for which this permit is issued shall be 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 /> no[grant permission for additional or rela[ed 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.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applic t is responsible for assuring all required inspections are <br /> requrte�ted conf anc�with th at [3uilding Code.This permit may be <br /> rev,6l:�d t ny�or ue cau . <br /> � �v <br /> � �� � - 11 � �7 � o� , ,� <br /> Applicant Per itee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />