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CITY OF ORONO * z � 1 z - 0 0 7 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1035 HERITAGE LA <br /> PIN : 10-117-23-13-0009 <br /> LEGAL DESC : FOXHILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: (I)BRYANT HEA"I'ING SSYSTEM <br /> MODEL-386TA-NATURAL GAS-2" PVC-80,000 INPUT,78,000 OUTPUT BTU'S- 1600 CI'MS <br /> (1)BRYANT COOL]NG SYSTEM-MODEL 126E3NA-2.5 TONS-25 AMP <br /> APPLICANT MECHANICAL 75.00 <br /> COUNTRYS[DE HEATING&COOLING STATE SURCHARGE MECH (VALUATION) 3.00 <br /> 651 I HWY 12 TOTAL 78.00 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-1600 PAID WITH CC# 1067 <br /> OWNER <br /> FRITZ,JEFF& ELLEN <br /> ]035 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for���hich 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 gran[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]80 days at any time after work has commenced. <br /> The applicant is responsibie for assuring all required inspections are <br /> requested n conformance ith the State Building Code.This permit may be <br /> revokedfat ny time fo d c se. <br /> r <br /> � 9/ !�l I � ��Y�2.F�L �l / 7`l oZ.� <br /> Applicant Permitee Signature Date Issu B Si nature Date <br /> Y� � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />