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_ CITY OF ORONO ��0 0 2 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 LEAF ST <br /> PIN : OS-117-23-I1-0014 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 3 <br /> : LOT 1 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 16,200.00 <br /> NOTE: 1 BRYANT NAT GAS FURNACE <br /> 2 BRYANT AC'S <br /> 1 KITCHEN EXHAUST <br /> � BATSH EXHAUST <br /> GAS L[NE FOR RANGE&DRYER <br /> APPLICANT MECHANICAL 202.50 <br /> HEATING & COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 8.10 <br /> I 8550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 210.60 <br /> (763)428-3677 <br /> OWNER <br /> KAPSNER,JASON&JULIE <br /> 760 D[CKEY LAKE ROAD <br /> LONG LAKE, MN 55356- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work tor���hich this permit is issucd shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pennit 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 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 oC 180 days at any time after work has commenced. <br /> The applicant is responsible for a�ring all reqw mspections are <br /> requested in conformance witkY�E tate Build� g o e.This permit may be <br /> revoked at any tim for due uc€C se. � <br /> ���' e`� -- l�. <br /> � � � � <br /> Applica i e Signatur Date Issued By gnature Date � <br /> SEPARAT P MITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />