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CITY OF ORONO PERMIT NO.: 2009-00625 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �sSUED: 09/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1880 FOX ST <br /> PIN : 03-117-23-42-0015 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 30,000.00 <br /> NOTE: GEOTHERMAL <br /> 2 CARRIER GAS HEATING SYSTEMS <br /> 6 BATH FANS <br /> 1 FAN IN LAUNDRY <br /> 2 GASLINES <br /> APPLICANT MECHANICAL 375.00 <br /> GENZ-RYAN PLUMBING& HEAT STATE SURCHARGE MECH (VALUAT[ON) 15.00 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE, MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 MISC FEE 0.00 <br /> TOTAL 392.00 <br /> OWNER <br /> BLUM, STEVE <br /> 1880 FOX STREET <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> [he approved plans and specifica[ions,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 wi[h whether or no[specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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�1ue cause _ <br /> G " � riQ�' - � , . � ` / L�C <br /> Applicant Permitee Signa e Date � <br /> Iss ed,�� y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />