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" � CITY �F �R�N� PERMIT ]v0.: 2009-00918 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE issUED: 12/28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1300 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0017 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 3,000.00 <br /> NO"I'E: 1 RUUD NATURAL GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> RON'S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 1.50 <br /> 12010 OLD BRICK YARD ROAD <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-8585 MISC FEE 0.00 <br /> TOTAL 53.50 <br /> OWNER <br /> PILLSBURY, GEORGE <br /> 1300 BRACKETTS PT RD <br /> WAYZATA, MN 55391- <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 permi[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�vork <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within I80 days of[he date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> 'rhe applicant is responsible for assuring all cequired inspections are <br /> requested in conformance with thc State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `,�1�.i.Q �tn- / / / / <br /> Applicant Permitee Signature Date Issued By S� ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />