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CITY OF ORONO PERMIT NO.: 2010-01096 <br /> • 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 1 U08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3020 NORTH SHORE DR <br /> PIN : 09-117-23-32-0003 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: 1 CARRIER NG FURNACE <br /> 1 CARRIER 2.5 TON AC <br /> APPLICANT MECHANICAL 112.50 <br /> RON'S MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.00 <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 119.50 <br /> OWNER <br /> SWENSON,J&K <br /> 3020 NORTH SHORE 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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for du�cause. <br /> �?'"Y�C� G� l l l l <br /> Applicant Permitee Signature Date Issued By ' ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />