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� CITY OF ORONO PERMIT NO.: 2011-00273 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 05/02/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1709 NORTH FARM RD <br /> , PIN : 27-118-23-44-0006 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> : PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,741.00 <br /> NOTE: (1)LENNOX HEATING SYSTEM-GARAGE UNIT HEATER <br /> NATURAL GAS-MODEL#LF24-45 <br /> 4"FLUE-45,000 INPUT BTU'S AND 36,900 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> DITTER INC. STATE SURCHARGE MECH(VALUATION) 1.37 <br /> 820 TOWER DRIVE TOTAL 51.37 <br /> MEDINA, MN 55340 <br /> (763)478-9558 <br /> OWNER <br /> ROSENGREN,MR.&MRS.RANDY <br /> 1709 NORTH FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 governing 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 consvuction 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 /> � ` /`-' .S—1 �d� l ol D!� � ��l l <br /> App�icant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />