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` ' ' CITY OF ORONO * 2 0 1 4 - PJ 0 1 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/1U2014 <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 : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,200.00 <br /> NO"I'f?: (1)"I'RIANGLE"I'U[3E HF,ATING SYSTEM-NATURAL GAS-3'PVC FLUE-60,000 INPU"('BTU'S,5�,000 Oi1TPUT BTU'S <br /> APPLICANT MECHANICAL 90.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.60 <br /> HEATING &COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE, MN 55369- TOTAL 95.60 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 95.60 <br /> OWNER <br /> KAPSNER,JASON &JULIE <br /> 75 LEAF ST <br /> LONG LAKE, MN 55356- <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 fbr 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 of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / <br /> � � / ��� <br /> Applicant ermrtee S� n ture �at [ssu By Signature Date <br />