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CITY OF ORONO PERMIT NO.: 201Q00514 <br /> , 2750 KELLEY PARKWAY <br /> � <br /> ORONO, MN 55356- DATE IssuEn: 06/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 366 NORTH ARM LA <br /> PIN : 06-117-23-24-0011 <br /> LEGAL DESC : NORTH ARM ESTATES 4TH ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 RUUD NAT.GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> RON'S MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 12010 OLD BRICK YARD ROAD <br /> SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-8585 MISC FEE 0.00 <br /> TOTAL 54.00 <br /> OWNER <br /> LARSON,MR.&MRS.MARK <br /> 366 NORTH ARM LA <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWOR1�1 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 pertnit is for only the work described and dces <br /> not grant permission 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 specified herein.l'his 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 consWction 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 permit may be <br /> revoked at any time for due cause. <br /> �1�,! G" / / (/!���-st / / <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />