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CITY OF ORONO PERMIT NO.: 2012-00102 <br /> � 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- �ATE [ssuEn: 02/08/2012 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,000.00 <br /> NO"I�E: I -HLATING SYS"CLMS, 1 COOLING SYSTEM, 1 GAS FACTORY FIREPLACE,&5 VENTALATION <br /> APPLICANT MECHANICAL 87.50 <br /> DAMYANS HEAT[NG& COOLING STATE SURCHARGE MECH (VALUATION) 3.50 <br /> 7900 EXCELSIOR BLVD TOTAL 91.00 <br /> #300 <br /> HOPKINS, MN 55343- <br /> (612)290-6790 <br /> OWNER <br /> GURALNIK,ALBERT& VALERIE <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> I'hc���ork(or���hich this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with�vhether or not specified herein.This permit will <br /> ezpire and become null and void if construction authorized is not <br /> commenced within f 80 days of the date of issuance,or if eonstruction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> fhe applicant is re nsible for assuring all required inspections are <br /> requested in conf mance with the State Building Code.'I'his pennit may be <br /> revoked a any ti.�e lor due cause. <br /> s� . ��c' i- � � <br /> ... 1C) � l ?�>fZ " ,���- l... <br /> � ant e i ee ' nature Date �-"�%�-��—� C`�'l'���-r7 / / <br /> Issued By Signatur� Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />