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CITY OF ORONO PERMIT NO.: 2010.01163 <br /> ' 2750 KELLEY PARKWAY <br /> " ORONO, MN 55356- DATE IssUEn: 1 U30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2690 PHEASANT RD <br /> PIIv : 21-117-23-23-0019 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,560.00 <br /> NOTE: 1 MITSUBISHI MSFEI2NA ELECTRIC HEATING SYSTEM <br /> / <br /> APPLICANT MECHANICAL 50.00 <br /> ANGELL AIRE INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 12253 NICOLLET AVE <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)746-5200 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> GETLIN, LARRY&DEBBIE <br /> 2690 PHEASANT RD <br /> EXCELSIOR,MN 55331 <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 /> 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due c`ause. <br /> \i�I"v`�'N <br /> / �'�- / / / / <br /> Applicant Permitee Signature Date Issued By � ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A E. <br />