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f !� <br /> CITY OF ORONO * 2 0 1 3 - 0 P1 2 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,927.00 <br /> NOTE: (1)CARRIER FURNACE-MODEL#59SC2A080S17-NATURAL GAS-3"FLUE-80,000 INPUT BTU'S <br /> 73,600 OUTPUT BTU'S, 1600 CFM <br /> (1)CARRIER COOLING SYSTEM-3.5 TONS <br /> (1)KITCHEN EXHAUST-600 CFM <br /> (4)BATH EXHAUST-280 CFM <br /> GASLINE FROM METER TO FURNACE,COOKTOP,FIREPLACES AND DRYER � <br /> APPLICANT MECHANICAL 124.09 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 4.96 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 TOTAL 131.05 <br /> OWNER <br /> MUSGJERD, SCOTT&MELISSA <br /> 4156 HIGHWOOD RD <br /> MOLJND,MN 55364- <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 goveming 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 aRer 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 /> revoke,�at any time for due ause. <br /> / �� / � ��Q � % <br /> Ap icant Permitee ignature Date Issue y ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />