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CITY OF ORONO PERMIT NO.: 2010-01047 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUED: 10/25/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2570 THOROUGHBRED LA <br /> PIN 04-117-23-11-0016 <br /> LEGAL DESC N/A <br /> LOT 004 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 2,800.00 <br /> NOTE: 1 HEATING SYSTEM& 1 COOLING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 18550 COUNTY ROAD 81 TOTAL 55.00 <br /> MAPLE GROVE,MN 55369- <br /> (763)428-3677 <br /> OWNER <br /> LANDGRAVER,KEVIN&HELEN <br /> 2570 THOROUGHBRED LA <br /> LONG LAKE, <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 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 governing 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 or assuring all quired inspections are <br /> requested in confbr r wl the Stat wilding Code.This permit may be <br /> revoked at any . e fo ue e. <br /> Applicant Perrnitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />