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CITY OF ORONO PERMIT NO.: 2009-00306 <br /> 2750 KELLEY PARKWAY <br /> � ' ORONO, MN 55356- �ATE tssuEn: 06/1U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4355 CHIPPEWA LA <br /> PIN : 31-118-23-42-0020 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : UNDEF[NED <br /> VALUATION : $ 4,000.00 <br /> NOTE: IN FLOOR HEAT-ELECTRIC BOILER-BASEMENT NOW&GARAGE LATER <br /> APPLICANT MECHANICAL 50.00 <br /> YOUNG,JOHN& LYNN STATE SURCHARGE MECH (VALUATION) 2.00 <br /> 4355 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- TOTAL 52.00 <br /> OWNER <br /> YOUNG,JOHN & LYNN <br /> 4355 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT Ai�iD 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 anytime r due ca se. �' <br /> ' ' - �,,,,,, � � ���Z�� <br /> �, � <br /> - �` '� � � �` �_ �-/ �'��` � � <br /> Applicant Permitee Sign ure Date Issued B. Signature Date <br /> � SEP ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />