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111111111111111111111 MIT 111111111111111 IN <br /> CITY OF ORONO * 2012 - 00947 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4115 WATERTOWN RD <br /> PIN 31-118-23-41-0014 <br /> LEGAL DESC MAPLE PLACE 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 12,000.00 <br /> NOTE: 1 TRANE NAT GAS FURNACE <br /> 1 MODINE NAT GAS HEATING SYSTEM <br /> 1 TRANE 2 TON AC <br /> 1 KITCHEN EXHAUST <br /> 1 BATH EXHAUST <br /> 1 EXERCISE ROOM FAN <br /> GAS LINE FOR DRYER <br /> APPLICANT MECHANICAL 150.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 6.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 156.00 <br /> (952)933-1868 <br /> OWNER <br /> DYER,MICHEAL&JILL <br /> 4115 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 i sponsible fo assuring all required inspections are <br /> requested' co ance w' gle State Building Code.This permit may be <br /> revo at ta for d e. <br /> / / <br /> Aptffse itee Signature Date Issued By 'g ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />