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CITY OF ORONO PERMIT NO.: 2009-00542 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/31/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4105 OAK ST <br /> PIN : 06-117-23-41-0095 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 6,800.00 <br /> NOTE: HEATING SYSTEM-(1)BRYANT-MODEL#355CAV-NATURAL GAS-2"PVC <br /> 80 INPUT BTU'S 74 OUTPUT BTU'S-1400 CFM <br /> (1)COOLING SYSTEM-BRYANT 124A-2.5 TON <br /> APPLICANT MECHANICAL 85.00 <br /> HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 3.40 <br /> 18550 COUNTY ROAD 81 TOTAL 88.40 <br /> MAPLE GROVE,MN 55369- <br /> (763)428-3677 <br /> OWNER <br /> THOMPSON,MICHEAL&STEPHANIE <br /> 4105 OAK ST <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 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 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 /> The 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. ¢ �j <br /> ��e <br /> 009 <br /> O SApplature Date I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />