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CITY OF ORONO PERMIT NO.: 2011-00013 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU05/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRfiSS : 245 FERNDALE RD N <br /> PI N : 36-1 18-23-41-0004 <br /> LECAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCI< 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,900.00 <br /> NO"I�G: I CARRILR NAT GAS FURNACG <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS, MN 55433 MISC FEE 0.00 <br /> (763)757-6202 TOTAL 57.00 <br /> OWNER <br /> BECKSTROM, DARRELL& KENWYN <br /> 245 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicabic Cit��approvals,and the <br /> State Building Code. 'I�his pennit is for only the work dcscribed and does <br /> not grant permission for additional or related���ork���hich requires scparate <br /> permits. All provisions of laws and ordinanccs govcrning this typc of work <br /> � shall be compied with whether or not specificd hcrcin.This permit will <br /> e�pire and becomc null and void if construction authorized is not <br /> commenced within 180 days ot�the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with�the Statc f3uilding Code.This pennit may be <br /> revoked at any time for due cause. <br /> `/���� � � � / / <br /> Applicant Nermitec Signature Date Issucd l3y." a�ure ate <br /> SEPARA"I�E PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO <br />