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CITY OF ORONO * 2 0 1 2 - 0 0 9 8 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0065 <br /> LECAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 68,421.00 <br /> NOTE: 2 BRYANT NATURAL GAS <br /> 2 BRYANT ELECTKICAL-GEO TH�I2MALS <br /> 1 KITCHEN F,XHAUST <br /> 8 BATH EXHAUS"(' <br /> GAS LINE"I'O GR[LL,2 FP,2 DRYLR, 1 GARAGE I�EATF,R,RANGE <br /> APPLICANT <br /> MECHANICAL 855.26 <br /> HORIZON CONTRACTORS, INC. STATE SURCHARGE MECH(VALUAT[ON) 34.21 <br /> 8197 HORIZON DR <br /> SHAKOPEE, MN 55379 MAIL-[N FEE 2.00 <br /> (612)508-9226 TOTAL 891.47 <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S IOTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMENT AND SWORIY STATEMENT <br /> Che work fi�r 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 relatcd work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whe[her or not specified herein.This permit will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any[ime after work has commenced. <br /> l�he 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 /> \_I��l.l�'��L <br /> GvL" i i Gfi��- l l <br /> Applicant Permitee Signature Date <br /> Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />