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t <br /> � CITY OF ORONO PERMIT NO.: 2009-00521 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: O8/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1981 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0005 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 59,775.00 <br /> NOTE: <br /> NOTE: GEOTHERMAL-(2)HEATING SYSTEMS-HYDRON MODULE-MODEL#H05013TLINS&H02610TLINS(4 TON)AND(2 TON) <br /> APPLICANT MECHANICAL 747.19 <br /> A R ENGH HEATING& A/C STATE SURCHARGE MECH (VALUAT[ON) 29.89 <br /> 7182 NORLING AVE SW <br /> 55321- TOTAL 777.08 <br /> (612)227-9561 PAID WITH CC# 5300 <br /> OWNER <br /> WHITTINGTON-GGROENKE, MICHEAL&JULIE <br /> 1981 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 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 construc[ion 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 /> �-,--�-� � � zs � �� � �, �s o 9 <br /> Applicant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. <br />