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t � <br /> CITY OF ORONO PERMIT NO.: 2011-01490 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 11/30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 11/30/2011 <br /> ADDRESS : 480 RUSSELL AVE <br /> PIN : 02-117-23-31-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 307 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,141.00 <br /> NOTE: (1)BRYANT HEATING SYSTEM <br /> MODEL-340 <br /> NATURAL GAS <br /> 40,000 INPUT BTU'S <br /> 36,800 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.57 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> 612-8242656 TOTAL 53.57 <br /> OWNER <br /> CARPENTER,NICKY&JOSEPHINE <br /> 480 RUSSEL AVE <br /> WAYZATA,MN 55391-0659 <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 after work has commenced. <br /> The appiicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for d e cause. <br /> �1�� ��/ �/� �o� �� <br /> Applicant Permite �gnature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />