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CITY OF ORONO PERMIT NO.: 200�-00274 <br /> ' 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 06/03/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 580 NORTH ARM DR <br /> PIN : 06-117-23-42-0005 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,500.00 <br /> NOTE: 1 -HEATING SYSTEM, 1-COOLING SYSTEM <br /> APPLICANT MECHANICAL 106.25 <br /> COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.25 <br /> 65ll HWY 12 <br /> MAPLE PLAIN,MN 55359 TOTAL 110.50 <br /> (763)479-1600 <br /> OWNER <br /> JOHNSON,BRYCE&PAULA <br /> 580 NORTH ARM DR <br /> MOUND,MN 55364 <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 gant 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 nu11 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 /> reyuested in conformance with the State Building Code.This perrt►it may be <br /> revoked at any time fo e. <br /> l fo � - �-/`---�--�.. �ynce.Y' � �`' � 3 ��j <br /> App ic ee i Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />