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CITY OF ORONO PERMIT NO.: 2010-01198 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3045 WATERTOWN RD <br /> PIN 04-117-23-22-0028 <br /> LEGAL DESC AUDITOR'S SUBD.NO.230 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 5,000.00 <br /> NOTE: REPLACEMENT OF FURNACE AND A/C <br /> APPLICANT MECHANICAL 62.50 <br /> LEGACY MECH SERVICES STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 9714 WOODCREST COURT TOTAL 67.50 <br /> MONTICELLO,MN 55362- <br /> (763)219-8978 <br /> OWNER <br /> HALL,MR. &MRS. <br /> 3045 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 /> requ conformance with the State Building Code.This permit may be <br /> oked a ny time for due ca <br /> ZADl /� <br /> Applicant Permitee Signat Date Iss BySignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />