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� CITY OF ORONO PERMIT NO.: 2009-00333 <br /> � <br /> ` 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 06/18/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 650 MINNETONKA HGLD LA <br /> PIN : 06-117-23-44-0003 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,000.00 <br /> NOTE: <br /> HEATING SYSTEM-(1)CARRIER-MODEL:58MVC080-14-NATURAL GAS-80,000 INPUT BTU'S <br /> 64,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 4342 B SHADY OAK RD TOTAL 51.00 <br /> HOPKINS,MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> BERG,JOHN&SHARON <br /> 650 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356 <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 pertnission for additional or related work which requires separate <br /> permits. All provisions of 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 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 /> 1'he 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 any time for due cause. <br /> � / ! �/ � / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />