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CITY OF ORONO PERMIT NO.: 2009-00159 <br /> 2750 KELLEY PARKWAY <br /> v . ORONO, MN 55356- �ATE �ssuEn: 04/17/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LANU SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 83,300.00 <br /> NOTE: 2 WATER FURNACE ELGCTRIC GEO'Il{ERMAL HEA7'ING SYSTEMS <br /> 1 TRIANGLE"I UE3E NATURAL GAS HEATING SYSTEM <br /> 1 WATER FURNACE 6 TON AC <br /> 1 KITCHGN EXHAUST <br /> 6 BATH GXHAUST <br /> GAS LING FOR DRYER,RANGE I COOD AND FIREP[.ACE <br /> APPLICANT MECHANICAL 1,041.25 <br /> UMR GEOTHERMAL <br /> 5115 INDUSTR[AL STREET STATE SURCHARGE MECH (VALUATION) 41.65 <br /> MAPLE PLAIN, MN 55359 MISC FEE 1.50 <br /> (763)479-6325 TOTAL 1,084.40 <br /> OWNER <br /> WESTLING, TOM <br /> 2640 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved pians and specitications,applicable City approvals,and the <br /> State Building Code. 'I'his permit is tor only the work described and does <br /> not grant permission for additional or rclated 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.'I'his 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 ot�180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Quilding Code.This permit may be <br /> revoked at any time for dus cause. <br /> �iyC� l l G�`�yt-a�--✓�-� l l <br /> Applicant Permitee Signature Date [ssued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />