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� CITY OF ORONO PERMIT NO.: 2012-00051 <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: OU24/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 MILLSTON RD <br /> PIN : ]0-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 20,000.00 <br /> NOTE: (1)GOODMAN HTG SYSTEM-GMVC950704-NATURAL GAS-2"FLUE-70,000 INPUT-64,500 OUTPUT- 1600 CFM <br /> (1)GOODMAN COOLING SYSTEM-SSX14024-2 TONS <br /> (1)KITCHEN EXHAUST-6"DUCT-300 CFM <br /> (2)BATH EXHAUST- 100 CFM <br /> (1)OTHER FAN-GREAT ROOM-300 CFM <br /> OUTDOOR GRILL <br /> GASLINE TO KITCHEN RANGE,WATER HEATER AND DRYER <br /> APPLICANT MECHANICAL 250.00 <br /> S.R.MECHANICAL STATE SURCHARGE MECH(VALUATION) 10.00 <br /> 7320 OXFORD ST.-SUITE 200 <br /> ST.LOUIS PARK,MN 55426 TOTAL 260.00 <br /> (952)933-5300 PAID WITH CC# 8602 <br /> OWNER <br /> BURWELL,MR.&MRS.RODNEY P <br /> 7901 XERXES AVE S <br /> BLOOMINGTON,MN 55431- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this 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 the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hetein.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 aRer 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 use. <br /> � �� a � �' � /02.� <br /> Applicant Permitee Sig ure Dat Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />