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CITY OF ORONO PERMIT NO.: 2009-00173 <br /> � " 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: 04/22/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1485 GREEN TREES RD <br /> PIN : 11-117-23-23-0011 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULT[PLE <br /> VALUATION : $ 3,300.00 <br /> NOTG: 1 LGNNOX GAS FURNACF, <br /> APPL[CANT MECHANICAL 50.00 <br /> VOGT HEATING& AIR COND STATE SURCHARGE MECH (VALUATION) 1.65 <br /> 3260 GORHAM AVE <br /> ST. LOUIS PARK, MN 55426- MA[L-IN FEE 2.00 <br /> (952)929-6767 TOTAL 53.65 <br /> OWNER <br /> CLOUSER REVOCABLE TRUST, PATRICIA <br /> 1485 GREEN TREES RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be pertormed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildinc Code. This permit is for only the work described and does <br /> not grant pennission 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 with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 pennit may be <br /> revoked at any time for due cause. <br /> �YY1 f,�,(,Q Lr1i l l l l <br /> Applicant Permitee Signature Date Issued B nature Date <br /> Y� � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />