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. ' CITY OF ORONO PERMIT NO.: 200�-00666 <br /> 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 10/02/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3048 NORTH SHORE DR <br /> PIN : 09-117-23-32-0004 <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 : $ 8,299.00 <br /> NOTE: 1 GOODMAN NAT.GAS HEATING SYSTEM <br /> 1 GOODMAN 3 TON AC <br /> APPLICANT MECHANICAL 103 J4 <br /> CRONSTROMS HEATING &AIR � STATE SURCHARGE MECH(VALUATION) 4.15 <br /> 6437 GOODRICH AVENUE <br /> MN 55426- MAIL-IN FEE 2.00 <br /> (952)920-3800 MISC FEE 0.00 <br /> TOTAL 109.89 <br /> OWNER <br /> DEPIETRO,MR.&MRS. <br /> 3048 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. 1'his 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 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 consWction 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for dqe cause. <br /> `;y?ta.�.�Lr�t l l �y7�C / / <br /> Applicant Permitee Signature Date Issued By gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />