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w <br /> CITY OF ORONO PERMIT NO.: 2009-00725 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 10/19/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1080 FERNDALE RD W <br /> PIN : 02-117-23-43-0007 <br /> LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,090.00 <br /> NOTE: 1 BRYANT NA"I'. GAS FURNACE <br /> APPLICAI�IT MECHANICAL 63.63 <br /> HEATING& COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 2.55 <br /> 18550 COLJNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 66.18 <br /> (763)428-3677 <br /> OWNER <br /> CHUGG, ERROL&JULIANA <br /> 1080 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and dces <br /> not grant permission for addi[ional 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 no[ <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 wark has commenced. <br /> The applicant is responsible for�suring all re ui d inspections are <br /> requested in conformance�wif�e State Bui mg de.This permit may be <br /> revoked at any ti�ef d <br /> / / / / <br /> pplic erm�tee Signature _ Date Issued By Si ure D e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />