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CITY OF ORONO PERMIT NO.: 2oos-oo439 <br /> � " 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 12/05/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2625 NORTH SHORE DR <br /> PIN : 09-117-23-42-0003 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,000.00 <br /> NOTE: 1 CARRIER NATURAL GAS FURNACE <br /> APPLICANT MECHANICAL 37.50 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.50 <br /> 9320 EVERGREEN BLVD-SUITE B <br /> COON RAPIDS,MN 55433 MAIL-IN FEE 1.50 <br /> (763)757-6202 MISC FEE 0.00 <br /> TOTAL 40.50 <br /> OWNER <br /> BUTZER,BARTHOLOMEW&ELIZABETH <br /> 2625 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 due cause. <br /> �1� �� / / / / <br /> Applicant Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB OVE. <br />