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1 - <br /> CITY OF ORONO PERMIT NO.: 2010-00517 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0017 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> : LOT 005 BLOCK 005 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,000.00 <br /> NOTE: DATING SYSTEM-MODEL#BUDDERUS-NATURAL GAS-4"FLUE-299,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 62.50 <br /> MANATEE PLUMBING STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 11525 199TH CIRCLE <br /> MN 55381- <br /> TOTAL 65.00 <br /> (612)756-1172 <br /> Minnesota State License#:005923PM <br /> OWNER <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE <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 governing 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> d at any time for d e. <br /> Applicant Perififtee Signature Date I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />