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� - CITY OF ORONO PERMIT NO.: 2011-000�s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/04/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1190 LYMAN AVE PIN : 35-118-23-43-0034 LEGAL DESC : REG. LAND SURVEY NO. 1067 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) �ROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 10,000.00 NOTE: RADIANT FLOOR HEAT FOR BASEMENT AND 2ND FLOOR BATHROOMS TRIANGLETUPC-MODEL SOLOI 10 NATURAL GAS-3"FLUE- 110,000 INPUT BTU'S ]04,500 OUTPUT APPLICANT MECHANICAL 125.00 TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00 3508 SNELLING AVENUE MINNEAPOLIS,MN 55406- TOTAL 130.00 , (612)729-5646 Minnesota State License#: 066835 OWNER PALMER, BRIAN&JULIA 1190 LYMAN AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work � shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. i i ��Y��., o�r i // Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.