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t � <br /> � , A <br /> CITY OF ORONO * z 0 1 4 - 0 0 1 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/03/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1161 ELMWOOD AVE <br /> P(N : 07-117-23-14-0029 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,848.00 <br /> NOTE: (1)BRYANT PURNACE-NATURAL GAS-3" FLUE-78,000 INPUT,71,760 OUTPUT, 1600 CFM <br /> (1)BRYANT A/C-3 TONS � �, �� S_�c.j <br /> (4)BATH GXHAiJST-80 CFM �V�S C� SL� ��T�'�"� L'� <br /> APPLICANT MECHANICAL 135.60 <br /> STATE SURCHARGE MECH(VALUATION) 5.42 <br /> SABRE HEATING&AIR COND 1NC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447 TOTAL 143.02 <br /> (763)473-2267 Payment(s) <br /> CREDIT CARD 0331 143.02 <br /> ( <br /> OWNER <br /> SUNDBERG, RICHARD <br /> 5125 WEST STREET <br /> GREENWOOD, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perlormed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein."fhis permit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 days of Ihe 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 conf'ormance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> ��kld�c`.�d� �/�,/i� ,e�- �1 � � � <br /> App�ant Permitee S�gnature ate' Issu I���Signature Date <br />