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CITY OF ORONO <br /> * 2013 - 00486 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/11/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3760 WATERTOWN RD <br /> PIN : 32-118-23-31-0005 <br /> LEGAL DESC HILLAWAY FARM <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,500.00 <br /> NOTE: 1 GOODMAN NAT GAS FURNACE <br /> 1 GOODMAN 2.5 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> STEPHENSON,REVIS STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 3760 WATERTOWN RD TOTAL 51.25 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> STEPHENSON,REVIS <br /> 3760 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 agy time ft due cause. <br /> / / <br /> Appliclint Permitee Signature Date Issued By Sjnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />