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CITY OF ORONO II 11 II11111_II II 011 111111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2360 WILLOW HILL DR <br /> PIN : 03-117-23-23-0023 <br /> LEGAL DESC : WILLOW HILL <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 23,524.00 <br /> NOTE: 1 BRYANT NAT GAS FURNACE <br /> 1 BRYANT 4 TON AC <br /> APPLICANT MECHANICAL 294.05 <br /> STATE SURCHARGE MECH(VALUATION) 11.76 <br /> HORIZON CONTRACTORS, INC. TOTAL 305.81 <br /> 8197 HORIZON DR Payment(s) <br /> SHAKOPEE, MN 55379 CHECK 6712 305.81 <br /> (612)508-9226 <br /> OWNER <br /> BATA,JEFF&PAULA <br /> 19000 31ST PLACE N <br /> PLYMOUTH, MN 55447- <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 d.,s at any time after work has commenced. <br /> The applicant is response •'assuring all required inspections are <br /> requested in conform e• i,- the State Building Code.This permit may be <br /> revoked at any tim54 e, ause. <br /> l � _ <br /> A //' 9/20V <br /> Applicant Permitee Signature Date Issued By Sy iature Date <br />