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CITY OF ORONO PERMIT NO.: 2009-00014 <br /> , � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: OU20/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3546 NY PL <br /> PIN : 20-117-23-42-0018 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : i�OT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 17,400.00 <br /> APPLICANT MECHANICAL 217.50 <br /> HEAT[NG&COOLWG TWO INC. STATE SURCHARGE MECH(VALUATION) 8.70 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 226.20 <br /> (763)428-3677 <br /> OWNER <br /> DRAZAN, MICHAEL& MARY <br /> 3546 IVY PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark 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 wark described and does <br /> not grant pennission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This pemiit may be <br /> revoked at any,time for due c e. i ,.-� , <br /> �-- <br /> �/f�/ �!/ / -'�J � � t/�� �J � <br /> / � ���/ /, a�,-�r{ �/ �, (�,/� GC-�/ � `'�' � l <br /> Applican errir�tee Signature Date Issued By Signature Date <br /> / <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />