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CITY OF ORONO PERMIT NO.: 2oiaoo3�9 <br /> ,� ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 05/24/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4149 HIGHWOOD RD <br /> PIN : 07-117-23-44-0018 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,159.00 <br /> NOTE: 1 BRYANT GAS FURNACE <br /> 1 BRYANT 2.5 TON AC <br /> APPLICANT MECHANICAL 114.49 <br /> PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 4.58 <br /> 7501 WASHINGTON AVE S <br /> EDINA,MN 55439- MAIL-IN FEE 2.00 <br /> (952)835-7777 MISC FEE 0.00 <br /> TOTAL 121.07 <br /> OWNER ' <br /> KOCH,MARK&NANCY <br /> 4149 HIGHWOOD RD <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 are <br /> requested in conformance with th�State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �{�L�C�(' �/h' / / ��i//(,a,,� / / <br /> Applicant Permitee Signature Date Issued By ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />