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,j' I CITY OF ORONO PERMIT NO.: 2010-00125 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/04/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 420 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 875.00 <br /> NOTE: 1 80 CFM BATH EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 0.50 <br /> 18550 COUNTY ROAD 81 TOTAL 50.50 <br /> MAPLE GROVE,MN 55369- <br /> (763)428-3677 <br /> OWNER <br /> PETERSON,WILLIAM&LYNAE <br /> 420 ORCHARD PARK RD <br /> LONG LAKE,MN 55356 <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 ork has commenced. <br /> The applicant is respons., for assuring all require, spections are <br /> requested in confo i•: ce ith the State Bu'.'° _ •,e.This permit may be <br /> revoked at.• t' e for: e cause. <br /> F� /3ei. Al. <br /> p. Permitee Signature - ate Issued By if ature ,+I,/ ::te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB raj E. <br />