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CITY OF ORONO PERMIT NO.: 2008-00356 <br /> � ,, 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEu: 1UO3/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1270 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0014 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 13,000.00 <br /> NOTE: <br /> REPLACED BOILER FOR DRIVEWAY SNOW MGLT SYSTEM. <br /> MAKE: WEILMCLAIN,MODEL: ULTRA-310,NATURAL GAS,PVC 4" FLUE,310,000 BTU'S INPUT <br /> 291,000 BTU'S OUTPUT <br /> APPLICANT <br /> MECHANICAL 162.50 <br /> CENTRAIRE HEATING &AIR STATE SURCHARGE MECH (VALUATION) 6.50 <br /> 7402 WASHINGTON AVE <br /> EDEN PRAIRIE, MN 55344 MAIL-IN FEE 1.50 <br /> (612)941-1044 TOTAL 170.50 <br /> OWNER <br /> SIEGERT, MR. & MRS. <br /> 1270 FRENCH CREEK DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,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 rclated 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 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 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.'Chis permit may be <br /> revoked at any y�ie for due c se. <br /> � �// �-� <br /> .����� �"r // i S i C � i i <br /> A��licant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />