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1 • <br /> CITY OF ORONO * 2 0 1 4 - 0 0 Z 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 430 BROWN RD S <br /> PIN : 03-117-23-42-0011 <br /> LEGAL DESC : STRONGHOLD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> VALUATION : $ 3,500.00 <br /> NOTE: (1)BRYANT FURNACG-MODEL 313AAV024045-LP FUEL -45,000 INPUT B'I'U;S AND 36,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.75 <br /> KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE, MN 55347- TOTAL 53.75 <br /> Payment(s) <br /> CHECK 12212 53.75 <br /> OWNER <br /> BREHM, EDWARD& KRISTF,N <br /> 430 BROWN RD S <br /> WAYZATA, MN 55391- <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 fi�r 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[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C �- � r � ���� <br /> Applicant Permitee Signature Date Issu By Signature Date <br />