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' ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z ID 1 4 - P1 1 2 0 8 * <br /> DATE ISSUED: 10/20/2014 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1720 NORTH FARM RD <br /> PIN : 27-118-23-44-0011 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT Ol0 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 3,632.00 <br /> NOTE: (1)RUUD FURNACE-NATURAL GAS-84,000 INPUT BTU'S,8Q640 OUTPUT BTU'S, 1704 CFM-3"FLUE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.82 <br /> CITY VIEW PLUMBING& HEATING MAIL-IN FEE 2.00 <br /> 1880 WAYZATA BLVD W <br /> P.O. BOX 150 TOTAL 53.82 <br /> LONG LAKE,MN 55356 Payment(s) <br /> (952)473-8793 CHECK 34857 53.82 <br /> OWNER <br /> HANSON,CRAIG&JOAN <br /> 1720 NORTH FARM RD <br /> LONG LAKE, MN 55356- <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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . <br /> �a ,2D /!� , e2�, ��/ <br /> Ap icant Permitee Sign re ate Issued y Signature Date <br />