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� ' "� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 4 - 0 1 2 8 6 * <br /> DATE ISSUED: 1UO3/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 135 HERITAGE LA <br /> PIN : 10-117-23-13-0021 <br /> LEGAL DF,SC : FOXHILL <br /> : LOT 000 E3LOCK 003 <br /> PERMIT TYPE : MECHAN[CAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: (2)BRYANT FURNACES-NATURAL GAS <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH (VALUATION) 3.00 <br /> KLEVE& JC MECHAN[CAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE, MN 55347- TOTAL 80.00 <br /> Payment(s) <br /> CHECK 12507 80.00 <br /> OWNER <br /> HOFFMAN, BARBARA J <br /> 1 135 HERITAGE LA <br /> WAY7.ATA, MN 55�91- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issued shall be perfbrmed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[�uilding Coda This permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcming this type of work <br /> shall be compied with whether or not specitied herein.'fhis permit will <br /> expire and become null and void if construction authorized is not <br /> commcnecd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The app!icant is responsible for assurine 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 /> � <br /> `VI�LG(_-(� �� l //l V'�' l <br /> Applieant Permitee Signature t lssu By Signature Date <br />