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