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' " ' CITY OF ORONO * 2 0 1 4 — 0 0 1 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1645 BOHNS POINT RD <br /> PIN : 17-117-23-11-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 61,083.00 <br /> NOTE: GGOTHERMAL SYSTEM <br /> I BOSC1 i SPLI"I'SYSTEM TA049 <br /> 1 BOSGi SPLI�I'SYSTGM TA061 <br /> 2 BRYANT NAT UAS rURNACES <br /> 1 BURNHAM NA"I�GAS FURNACE <br /> 1 RE7,NOR NAT GAS FURNACE <br /> 3 GAS FP <br /> 1 KITCHEN F,XHAUST <br /> 1 1 BATH EX}-IAUST & GAS LINES FOR 3 FP,2 DRYER, BBQ&RANGF, <br /> APPLICANT MECHANICAL 763.54 <br /> STATE SURCHARGE MECH (VALUATION) 30.54 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- TOTAL 796.08 <br /> (952) 835-7777 Payment(s) <br /> CHECK 9411 796.08 <br /> OWNER <br /> CHURCH,JOHN & KLERISSA <br /> 1645 BOHNS PT RD <br /> WAYZAZ'A, MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this pern�it 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 goveming this type of work <br /> shall be compied with whether or not specitied herein."1'his permit will <br /> expire and become null and void it�construction authorired 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 reqi�ired inspections are <br /> rcquested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> 9 i /� i /� <br /> Applicant Permitee Signature Date Iss d I3y Signature Date <br />