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• -... CITY OF ORONO PERMIT NO.: 2011-01403 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: i U04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 SPRUCE PL PIN : 08-117-23-32-0027 LEGAL DESC : N/A : LOT MB BLOCK O10 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,000.00 NOTE: (1)JBC HEATING SYSTEM SL-20-115-NATURAL GAS - ` _.. .____._ ... .._ ...,. _ _. _ _ 3"PVC FLUE " - 115,000 INPUT , � 110.400 OUTPUT - ' � ` .. . ._ � APPLICANT MECHANICAL 87.50 UMR GEOTHERMAL - � � ' " "- � STATE SURCHARGE MECH(VALUATION) 3.50 5115 INDUSTRIAL STREET MAPLE PLAIN,MN 55359 _ TOTAL 91.00 (763)479-6325 OWNER GUSTAFSON,GREGORY&JEANNE _._,____..__. ._ _ . 1280 SPRUCE PL _ __....._ -•---_____�._—______ _.. . _ MOUND,MN 55364 , ... ..._ ....-- _._ _.... .. , AGREEMENT AND SWORN STATEMEI�FT- The work for which this permit is issued shall be performed according to . ___ . .,.- ..- • -• the approved plans and specifications,applicable City appcavals,and the ' .. _._ .. ..... State Building Code: This permit is for only the work described and does _.._.. . not grant permission for additional or related work which requires sepazate � - - • permits. All provisions of laws and ordinances governing this typa of work -�J,.. � -� shall be compied with whether or not specified herein.This permit will ,. _ . _ .... . expire and become null and void if construction authorized is not . . � ' commenced withi�-� days of the date nf'issuance,or if construction is suspended for a perio�of 180 day�afany � �after work has commenced. ,_.._._-•. '" " '� �� The appljeant is resp"odsible f9�'assuri a�,required inspections ac'�' reyue�C'ed in confp ance�yrfh the S mlding Code.This permit may be rev,d�ced at any,tfine for dy�caus ;' � i .. _ .. - �,, .�., i� � y � � �i � � � Applicaoi�P"ermitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.