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, . <br /> CITY OF ORONO PERMIT NO.: 2010-00900 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/24/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2172 SHADYWOOD RD <br /> PIN : 17-117-23-42-0010 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 15,455.00 <br /> NOTE: <br /> HEATING SYSTEM(1)CARRIER-INFINI"I'Y-NATURAL GAS- 100,000 INPUT BTU'S <br /> COOLING SYSTEM(1)CARRIER-MODEL APA5048-4 TONS <br /> GASLINE FOR MAIN,(3)FIREPLACES,DRYER AND RANGE <br /> APPLICANT MECHANICAL 193.19 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH (VALUATION) 7.73 <br /> 3062 RANCHVIEW LN N <br /> PLYMOUTH, MN 55447 TOTAL 200.92 <br /> (763)473-2267 PAID WITH CC# 1207 <br /> OWNER <br /> DORE, STEVEN <br /> 8351 WEST 109TH STREET <br /> BLOOMINGTON, MN 55438- <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 Buildine Code. This permit is for only the work described and does <br /> not gran[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 a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revokxd-�y t5 r ue cause. <br /> �„ <br /> / / / �O <br /> �c t ermitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />