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I lull 11111111 11IM91MM <br /> R - CITY OF ORONO * 2012 - 01271 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/26/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2760 WATERTOWN RD <br /> PIN : 33-118-23-43-0020 <br /> LEGAL DESC : ROSCH ADDN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,200.00 <br /> NOTE: 1 CARRIER NAT GAS FURNACE <br /> 1 CARRIER 4 TON AC <br /> APPLICANT MECHANICAL 90.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 3.60 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS,MN 55433 TOTAL 95.60 <br /> (763)757-6202 <br /> OWNER <br /> ZEMAN,FRED&SAMANTHA <br /> 2760 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 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 /> Applicant Permitee Signature Date Issued By Zignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED 15OVE. <br />