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CITY OF ORONO � 1 3 - 0 0 6 2 3 * <br /> � " 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4360 CHIPPEWA LA <br /> PIN : 31-118-23-42-0015 <br /> LEGAL DESC : CHIPPEWA 3RD ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 8,410.00 <br /> NOTE: I BRYANT 3 TON AC <br /> APPLICANT MECHANICAL 105.13 <br /> PRONTO HEATING& AC STATE SURCHARGE MECH(VALUATION) 4.21 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 <br /> (952)835-7777 MISC FEE 0.00 <br /> TOTAL 1]1.34 <br /> OWNER <br /> GORSUCH, JEFFREY& SARAH <br /> 4360 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is Yor 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 i1'construction authorized is not <br /> commenced within 180 days of Che 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 arc <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��l���� �`�-� / / i i <br /> Applicant Permitee Signature Date Issued y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB . <br />