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CITY OF ORONO PERMIT NO.: 2010-00126 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/24/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2350 WAYZATA BLVD W <br /> PIN : 34-118-23-22-0014 <br /> LEGAL DESC : EAST WILLOW WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 68,000.00 <br /> NOTE: HEATING SYSTEM FOR HARVEST MOON CO-Op <br /> -w'c( W. <br /> �c C.o <br /> Nary8st 6p <br /> APPLICANT MECHANICAL 850.00 <br /> A R ENGH HEATING&A/C STATE SURCHARGE MECH(VALUATION) 34.00 <br /> 7182 NORLING AVE SW <br /> COKATO, MN 55321 TOTAL 884.00 <br /> (612)227-9561 PAID WITH CC# 5300 <br /> OWNER <br /> Otten Bros. <br /> OTTEN,CLIFF&LOUISE <br /> 2350 WAYZATA BLVD W <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 /> /zy l II /, altajt,, oZ /o <br /> Applicant Permitee Signature Date Issu.1 By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />