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CITY OF ORONO PERMIT NO.: 2010-00485 <br /> 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE ISSUED: 06/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1005 WILLOW DR S <br /> PIN 10-117-23-24-0012 <br /> LEGAL DESC UNPLATTED 10 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 9,423.00 <br /> NOTE: 1 YORK NATURAL GAS FURNACE <br /> 1 YORK 3.5 TON AC <br /> APPLICANT MECHANICAL 117.79 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 4.71 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> 612-824-2656 MISC FEE 0.00 <br /> TOTAL 124.50 <br /> OWNER <br /> SPENCER,MARTHA <br /> 1005 WILLOW DR S <br /> WAYZATA,MN 55391 <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 Btftnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AEUVE. <br />