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CITY OF ORONO PERMIT NO.: 2008-00247 <br /> 2750 KELLEY PARKWAY <br /> • ORONO,MN 55356- DATE ISSUED: 10/13/2008 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1100 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 52,000.00 <br /> NOTE: <br /> INSTALL 2 GEOTHERMAL WATERFURNACES, 1 WATERFURNACE A/C 5 TON <br /> 1 BATH FAN <br /> APPLICANT MECHANICAL 650.00 <br /> UMR GEOTHERMAL <br /> 5115 INDUSTRIAL STREET STATE SURCHARGE MECH(VALUATION) 26.00 <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 1.50 <br /> (763)479-6325 TOTAL 677.50 <br /> OWNER <br /> GRAHAM,ROBERT GUMNIT AND FRANCES <br /> P.O.BOX 85 <br /> CRYSTAL BAY,MN 55323- <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 /> revoked at any time for due cause. <br /> 67 /D I8 <br /> Applicant Permitee Signature /Date / <br /> Issued Byg•gnature r I I Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE Dr;.BOVE. <br />