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CITY OF ORONO PERMIT NO.: 2008-00043 <br /> 2750 KELLEY PARKWAY <br /> `� ' ORONO, MN 55356- �ATE ISSUEu: 07/14/2008 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4465 FOREST LAKE LAND[NG <br /> PIN : 07-117-23-24-0038 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1019 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> COIVSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 2,827.00 <br /> APPLICANT MECHANICAL 35.34 <br /> CRONSTROMS HEAT[NG & AIR CONDITION STATE SURCHARGE MECH(VALUAT[ON) 1.41 <br /> 6437 GOODRICH AVENUE <br /> MN 55426- MAIL-[N FEE 1.50 <br /> (952)920-3800 TOTAL 38.25 <br /> OWNER <br /> BLACKSTONE,JON <br /> 4465 FOREST LAKE LANDING <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> thc approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant pemiission for additional or related work which requires separate <br /> permits All provisions of laws and ordinances govcrning Ihis type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if cons[ruction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> "I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> `�1t.a-�--� �-+ti- / / �j <br /> Applicant Permitee Signature Date � � �� / �`� <br /> Issued By. ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />