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' . CITY OF ORONO PERMIT NO.: 2oiaoii�� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12✓02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4196 NORTH SHORE DR <br /> PIN : 07-117-23-44-0090 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,400.00 <br /> NOTE: HOMEOWNER INSTALLING NEW FURNACE AND A/C <br /> (1)YORK-TM9X060BNMIIA-NATURAL GAS-2"FLUE-60K INPUT,57K OUTPUT, 1200 CFM'S <br /> (1)YORK TCUF3054153A-2.5 TONS <br /> APPLICANT MECHANICAL 50.00 <br /> CAMPBELL,BRETT COOK& SHERYL STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 4196 NORTH SHORE DR <br /> MOLJND,MN 55364 TOTAL 55.00 <br /> OWNER <br /> CAMPBELL,BRETT COOK&SHERYL <br /> � 4196 NORTH SHORE DR <br /> MOUND,MN 55364 <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 Ciry approvals,and the <br /> State Building Code. 7'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> � permiu. 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 d e cause. <br /> s 12r 2. i c7 /�,.i D o�i !7 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> f <br />