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CITY OF ORONO I II IIIII HI * 20 1 2 - 0 1 1 8S * 2750 KELLEY PARKWAY DATE ISSUED: 11/20/2012 I ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 545 OLD CRYSTAL BAY RD S PIN : 04-117-23-31-0003 LEGAL DESC : A DITOR'S SUBD.NO.230 : L T 022 BLOCK 000 PERMIT TYPE ECHANICAL(>$500) PROPERTY TYPE SIDENTIAL CONSTRUCTION TYPE ECHANICAL-MULTIPLE VALUATION : $ 1,500.00 NOTE: (1)MODINE HEATING SYSTEM IN DETACHED GARAGE MODEL#HD 45A-NATURAL GAS 3"FLUE 45,000 INPUT BTU'S 36,000 OUTPUT BTU'S 720 CFM APPLICANT MECHANICAL • 50.00 HARIVIAOLD DAVID&MONA STATE SURCHARGE MECH(VALUATION) 0.75 505 505 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- TOTAL 50.75 OWNER HARMANN,DAVID&MONA 505 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,appl'cable City approvals,and the State Building Code. This permit is for only the work described and does not grant permis$ion for additional or relat d work which requires separate permits. All prottisions of laws and ordin ces governing this type of work shall be compied;with whether or not speci ied herein.This permit will expire and become null and void if constru tion authorized is not commenced within 180 days of the date of'ssuance,or if construction is suspended for a period of 180 days at any t me after work has commenced. The applicant is responsible for assuring al required inspections are requested in conformance with the State Byiilding Code.This permit may be revoked at any time for due cause. sem_ it' /// l c2, ` J./ ' P L / A / /o101 ?-- Applicant'ermitee Signature Date Is.-d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.