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CITY OF ORONO PERMIT NO.: 2010-00097 <br /> � '� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3300 FOX ST <br /> PIN : OS-117-23-44-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. U58 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,294.00 <br /> NOTG: ( GOODMAN NnTURAL GAS FURNACE <br /> APPLICANT <br /> MECHANICAL 53.68 <br /> CRONSTROMS HEATING & AIR STATE SURCHARGE MECH (VALUATION) 2.15 <br /> 6437 GOODRICH AVENUE <br /> MN 55426- MAIL-IN FEE 2.00 <br /> (952)920-3800 MISC FEE 0.00 <br /> TOTAL 57.83 <br /> OWNER <br /> TRUBECK, WILLIAM &JUDITH <br /> 3300 FOX ST <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I'he work for which this permit is issucd shall be performed accordine to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is tor only thc work described and does <br /> not grant pennission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whcther 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 date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenccd. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permit may be <br /> revoked at any time fo�due cause. <br /> 1 Y�`�C �-' l l �g`r'lA /J n � l l <br /> ��.�r�., u <br /> Applicant Permitec Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />