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CITY OF ORONO * 2 0 1 3 — 0 Pl 6 8 2 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 35 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0010 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,300.00 <br /> NO'I�E: 1 CARRIER NAT GAS FURNACG <br /> I CnRR[ER 3.5 TON nC <br /> APPLICANT MECHANICAL 78.75 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 3.15 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MA[L-IN FEE 2.00 <br /> COON RAPIDS, MN 55433 TOTAL 83.90 <br /> (763) 757-6202 <br /> OWNER <br /> ANDERSON, M & K <br /> 35 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <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 specifications,applicable City approvals,and the <br /> State Building Code. 'I�his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions oC laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void ifconstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at an��time after work has commenced. <br /> The applicant is responsible(or assuring all required inspections are <br /> requested in conlormance with the State E3uilding Code.'l�his permit may bc <br /> revoked at an}'time for due cause-� <br /> ���2-G[�c.��/VL i � i i <br /> Applicant Permilec Signature Date Issued y Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO E <br />