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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 3 - PJ 0 PJ 6 9 * <br /> DATE ISSUED: OU28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 140 BROWN RD S <br /> PIN : 03-117-23-12-0011 <br /> LEGAL DESC : KALLESTAD ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE <br /> VALUATION : $ 3,560.00 <br /> NO"[�E: RGPLACE(1)ONE-FIOUR HEATING SYSTEM-MODEL#GMH950904CX-NATURAL GAS-90,000 INPUT[3TU'S <br /> APPLICANT MECHANICAL 50.00 <br /> NORTHERN HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 1.78 <br /> 9431 ALPINE DR <br /> RAMSEY, MN 55303 MAIL-IN FEE 2.00 <br /> (763)323-7597 TOTAL 53.78 <br /> OWNER <br /> COLEMAi�, MR. & MRS. <br /> 140 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for whicl�this permit is issued shall be performed according to <br /> the approvcd 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 rclated work which requires scparate <br /> permits. All provisions of laws and ordinances governing this type of wark <br /> shall be compied with whether or not spccified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> revo� d at any time for due cause. <br /> � ����� ���� /' ,�- �i/� <br /> Applicant Permitee Signature Datc Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />