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� CITY OF ORONO PERMIT NO.: 2010-01148 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEv: 1 U22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 333 HOLLANDER RD <br />� PIN : 25-118-23-43-0005 <br />! LEGAL DESC : REG.LAND SURVEY NO. 1281 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br />' CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,489.00 <br /> NOTE: 1 BRYANT NAT.GAS FURNACE <br /> 1 BRYANT 4 TON AC <br /> APPLICANT MECHANICAL 131.11 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 5.24 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00 <br /> (952)835-7777 MISC FEE 0.00 <br /> TOTAL 138.35 <br /> OWNER <br /> VACEK,MR.&MRS. <br /> 333 HOLLANDER RD <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 on(y 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if consVuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due�ause. <br /> 1'Yl.�-l.� VU�. � � / / <br /> Applicant Permitee Signature Date Issued B ignature ate <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O <br />