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� CITY OF ORONO * 2 0 1 3 - PJ 0 2 7 1 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0018 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULT[PLE <br /> VALUATION : $ 21,600.00 <br /> NOTE: 2 CARRIER NAT GAS FURNACES <br /> 2 CARRIER 3 TON AC <br /> 1 GAS FP-PIPING ONLY <br /> 1 KITCHEN EXHAUST <br /> 5 BATH EXHAUST <br /> GAS LINE TO OUTDOOR GRILL AND FP <br /> APPLICANT MECHANICAL 270.00 <br /> FLARE HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) ]0.80 <br /> 9309 PLYMOUTH AVE N <br /> SUITE 104 MAIL-IN FEE 2.00 <br /> GOLDEN VALLEY, MN 55427 TOTAL 282.80 <br /> (763)542-1166 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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[he work described and does <br /> not grant permission for additional or related work which requires separa[e <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[ime afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for�1ue cause. <br /> �I�t-�� �iV'� / / �'✓L�-.'� l l <br /> Applicant Permitee Signature Date Issued y nature ��Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />