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�. ^ CITY OF ORONO * Z pJ 1 2 - 0 1 0 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1250 ARBOR ST <br /> PIN : 10-117-23-31-0106 <br /> LEGAL DESC : CRYSTAL BAY MINNETONKA <br /> : LOT 0 BLOCK 0 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,000.00 <br /> NOTE: DAY/I�TIGHT-INPUT BTU'S 60,000 <br /> APPLICANT MECHANICAL 50.00 <br /> HEATING&COOLING DESIGN INC STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 10830 ABLE STREET <br /> BLAINE,MN 55449- TOTAL 51.00 <br /> (612)328-7172 <br /> OWNER <br /> ENGEBRITSON,REGINA <br /> 1250 ARBOR ST <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 consiruction 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�i'�e for cause. /� <br /> �-- lf� / �6 / /� �, � /0 -/�-� <br /> � <br /> Applicant Permi ignature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />