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, � CITY OF ORONO * Z 0 1 3 - PJ 0 0 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3435 CRYSTAL BAY RD <br /> PIN : 17-117-23-43-0120 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 4,000.00 <br /> NOTE: (1)RHEEM IIt-:A"fING SYSTGM <br /> MODEL-RGLE07EAMKR <br /> NATURALGAS <br /> 70,000 INOU"I'BTU'S � <br /> 52.000 OUTPU"C BTU'S <br /> 600.1200 CFM <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> BENJAMIN FRANKLIN PLUM[31NG STATE SURCHARGE MECH (VALUATION) 2.00 <br /> 1424 3RD STREET N <br /> MINNEAPOLIS, MN 5�41 1- MAIL-IN FEE 2.00 <br /> (763)755-6468 TOTAL 54.00 <br /> OWNER <br /> BROWN, SCOTT <br /> 3435 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be perfbrmed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State[3uilding Code. 'fhis permit is for only the work described and does <br /> not arant pennission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of���ork <br /> shall be compied with whether or not spccitied 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 commeneed. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conlormance with the State C3uilding Code.�I�his permit may be <br /> revoked at any time for duc cause. <br /> �`2Tit_li.f�F�� I ����1,3 ��`l�-1 l l �� �� <br /> npplicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />