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CITY OF ORONO PERMIT NO.: 2oiaoiois <br /> 2750 KELLEY PARKWAY <br /> w _ ., ORONO,MN 55356- DATE ISSUEn: 10/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2108 SUGARWOOD DR <br /> PIN : 34-118-23-21-0024 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 005 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,400.00 <br /> NOTE: 1 HOT DAWG HD-45 NAT.GAS GARAGE HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> PLUMBING WEST,INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 23248 WALDEN AVENUE TOTAL 55.00 <br /> HUTCHINSON,MN 55350 <br /> (320)587-0300 PAID WITH CC# 6276 <br /> OWNER <br /> RICKS,MICHEAL&JACQUELINE <br /> 2108 SUGARWOOD DR <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 work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the uilding Code.This permit may be <br /> revoked at any time for e cau e. -- <br /> .�S`�r'� / / / / <br /> Applicant Permitee Signature . Date Issued y Si ure <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCWBED ABO E. <br />