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- CITY OF ORONO PERMiT NO.: 2009-00746 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: 10/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 425 FERNDALE RD N <br /> PIN : 36-118-23-14-0014 <br /> LEGAL DESC : HAUSER LAUER WCC ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 9,000.00 <br /> NOTE: 2 RUUD NATURAL GAS FURNACES <br /> APPLICANT MECHANICAL 112.50 <br /> RON'S MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 4.50 <br /> 12010 OLD BRICK YARD ROAD <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-8585 MISC FEE 0.00 <br /> TOTAL ll 9.00 <br /> OWNER <br /> HAUSER, HELEN <br /> 425 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perniit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding 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 nuli 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau�se. <br /> �, / / <br /> Applicant Permitee Signatu�� Date Issued By Sig ture Date � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />