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CITY OF ORONO PERMIT NO.: 2010-00551 <br /> 2750 KELLEY PARKWAY <br /> w ORONO,MN 55356- DATE IssuEn: 07/06/2010 <br /> - 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2749 KELLY AVE <br /> PIN : 21-117-23-23-0027 <br /> LEGAL DESC : REG.LAND SURVEY NO.0891 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,000.00 <br /> NOTE: 1 CARRIER NAT GAS FURNACE <br /> 1 CARRIER 2.5 AC <br /> APPLICANT MECHANICAL 100.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 9320 EVERGREEN BLVD-SUITE B <br /> COON RAPIDS,MN 55433 MAIL-IN FEE 1.00 <br /> (763)757-6202 TOTAL 106.00 <br /> OWNER <br /> TEARLE,CHAD&ELEANOR <br /> 2749 KELLY AVE <br /> EXCELSIOR,MN 55331- � <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 related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing 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 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 wo�k 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 d(�e cause. <br /> ,%��i�"'�i " „ / / / / <br /> Applicant Permitee Signature Date Issued B S gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB V . <br />