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� CITY OF ORONO PERMIT NO.: 2009-00030 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISSUED: OU28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 455 FERNDALE RD N <br /> PI IV : 36-118-23-14-0013 <br /> LEGAL DESC : HAUSER LAUER WCC ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,200.00 <br /> NOTE: 75,000 I3TU GARAGE HEATER <br /> APPLICANT MECHANICAL 35.00 <br /> MARK'S PLUMB[NG, INC. STATE SURCHARGE MECH (VALUATION) 0.60 <br /> 2365 LOU[SIANA AVE.N. <br /> GOLDEN VALLEY, MN 55427- MAIL-IN FEE 1.50 <br /> (763)354-2800 TOTAL 37.10 <br /> Minnesota State License#: 063028-PM <br /> OWNER <br /> JUANG,ANDY&GRACE <br /> 455 FERNDALE RD N <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 specitications,applicable Ciry approvals,and the <br /> State Building Code. "I'his 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 govcrning this type of work <br /> shall be compied with whether or not specitied herein."This permit will <br /> cxpire 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 /> '�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 /> �7�t�,�,( C�y� l l <br /> � � <br /> Applicant Permitee Signature Date Issued By S' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB OVE. <br />