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, CITY OF ORONO PERMIT NO.: 2010-00507 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: 06/2U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 147,850.00 <br /> NOTE: <br /> GEO THF,RMAL- 17 TON-ECONAR GW570,GV570,GV771 <br /> MUNCHKIN BOILER-NATURAL GAS-3'PVC- 140 MBH INPUT, 133 MBH OU"1'YUT <br /> MAKE-UP AIR 750 CFM-ELECTRO INDUSTRIES <br /> GAS FACTORY FIREPLACE <br /> WOOD BURNING FIREPLACG <br /> KITCHEN EXHAUS'1'-600 CPM <br /> APPLICANT MECHANICAL 1,848.13 <br /> ECO AIR INC. STATE SURCHARGE MECH(VALUATION) 73.93 <br /> 16820 HIGHWAY 10 <br /> ELK RNER, MN 55330- MAIL-IN FEE 2.00 <br /> (763)413-7831 TOTAL 1,924.06 <br /> OWNER <br /> GRIFFIN, ROBERT& KIMBERLY <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be performed according to <br /> the approved plans and specitications,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[his 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 da[e of issuance,or if consVuction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Stafte„$�tldiii"g Code.This permit may be <br /> revoked at�,any time r e cayse�' <br /> / <br /> ' b ' ' �� �l� i� <br /> Appl�ica t er itee Signature Date Is y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />