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f # <br /> CITY OF ORONO PERMIT NO.: 2011-00952 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3085 WATERTOWN RD <br /> PIN : 04-117-23-22-0032 <br /> LEGAL DESC : WALNUT CREEK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,700.00 <br /> NOTE: HEATING SYSTEM <br /> (1) MITSUBISHI-MODEL MUZ 18-ELECTRIC- 18,000 INPUT BTU'S, 18,000 OUTPUT BTU'S-600 CFM <br /> APPLICANT MECHANICAL 71.25 <br /> AIR QUALITY SERVICES,INC. STATE SURCHARGE MECH(VALUATION) 2.85 <br /> 6221 CAMBRIDGE STREET <br /> BOX A6 MAIL-IN FEE 2.00 <br /> ST LOUIS PARK,MN 55416- TOTAL 76.10 <br /> (952)928-3835 PAID WITH CC# 9849 <br /> OWNER <br /> GERHART,RICHARD&JANICE <br /> 3085 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 c se. <br /> Applicant Permitee Signature Date <br /> Issued&ly Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />