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CITY OF ORONO PERMIT NO.: 2009-00665 <br /> . ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISS[1En: 10/02/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2474 CARMAN ST <br /> PIN : 20-117-23-12-0027 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT O11 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT�ON TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,481.00 <br /> NOTE: I BRYANT NAT.GAS HEATING SYST'EM <br /> APPLICANT MECHAMCAL 56.01 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 2.24 <br /> 410 WEST LAKE STREET <br /> MINNEAPOLIS,MN 55408-2998 MAIL-IN FEE 2.00 <br /> 612-824-2656 MISC FEE 0.00 <br /> TOTAL 60.25 <br /> OWNER <br /> EDWARDS, WARD <br /> 2474 CARMAN ST <br /> WAYZATA, MN 55391- <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 describcd and does <br /> no[grant permission 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 no[ <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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due caqse. <br /> `,Z1�� �It / / / / <br /> Applicant Permitee Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />