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� CITY OF ORONO PERMIT NO.: 2011-00230 <br /> • 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE 1SSUED: 04/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-I1-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 24,000.00 <br /> NOTE: GEOTHERMAL <br /> 1 WATERFURNACE-ELEC�RIC <br /> 1 CARRIER NAT.GAS FURNACE <br /> 1 WATERFURNACE-�TON AC <br /> HGAT&GLO 8000CLX GAS FP <br /> I KITCHEN EXHAUST <br /> 4 BATH EXHAUST <br /> APPLICANT <br /> � UMR GEOTHERMAL MECHANICAL 300.00 <br /> 5115 INDUSTRIAL STREET STATE SURCHARGE MECH (VALUATION) 12.00 <br /> MAPLE PLAIN, MN 55.i59 MAIL-IN FEE 2.00 <br /> � (763)479-6325 TOTAL 314.00 <br /> OWNER <br /> RUDOW, DAVID <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for���hich Uiis permit is issued shall bc perl��rmcd accordinb to <br /> � the approved plans and specitications,applicable City approvals,and the <br /> Statc I3uilding Codc. This permit is for only thc work dcscribcd and docs <br /> not�rant permission tor additional or related work which rcq�iires separate <br /> permits. All provisions of la���s and ordinances governing this type of work <br /> � �shall be compied with���hether or not spccified herein.This pennit will <br /> � 'e�pire 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 I 80 days at any�time after work has commenced. <br /> � The applicant is responsible for assuring all requircd inspections are <br /> � requested in conformance witll the State Building Code.This permit may be <br /> , revoked at an� time lo�due cause. <br /> I'�� ���� �- / / ����'Z�_ / / <br /> !� Applicant Permitee Signature Date <br /> , Issued B�� �gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />