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° " CITY OF ORONO * 2 0 1 6 - 0 0 1 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/1 U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1025 SPRING HILL RD <br /> pIN : 26-118-23-43-0045 <br /> LEGAL DESC : LJNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 25,000.00 <br /> NOTE: (1)TRANE FURNACE <br /> (1)MODINE FURNACE <br /> (1)INFLOOR RADIANT HEAT <br /> (1)TRANE A/C <br /> (1)BATH EXHAUST , <br /> GASLINE TO(2)FIREPLACES <br /> GASLINE TO DRYER <br /> HIGH PRESSURE GASLINE <br /> APPLICANT MECHANICAL 312.50 <br /> STATE SURCHARGE MECH(VALUATION) 12.50 <br /> PRACTICAL SYSTEMS TOTAL 325.00 <br /> 4342B SHADY OAK RD Payment(s) <br /> HOPKINS,MN 55343 CHECK 8617 325.00 <br /> (952)933-1868 <br /> OWNER <br /> BOWLSBY,JOHN&CYNDY <br /> 1025 SPRING HILL ROAD <br /> WAYZATA,MN 55391- <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 dces <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 wi11 <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 applicant 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 due cause. <br /> � a2 �r� �1 � p `2 � // �l� <br /> Ap icant Permitee Signature Date Iss ed B ature Date <br />