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i CITY OF ORONO PERMIT NO.: 2011-01321 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 10/25/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3700 CASCO AVE <br /> P[N : 20-117-23-31-0040 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0467 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,351.00 <br /> NOTE: I BRYANT NAT. GAS FURNACE <br /> APPLICANT MECHANICAL 54.39 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH (VALUATION) 2.18 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 <br /> (9sz�s3s-���� TOTaL ss.s� <br /> OWNER <br /> DONGOSKE, MR. &MRS. <br /> 3700 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he work for which this pem�i[is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not gran[permission for addi[ional 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 /> 'I'he 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />