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CITY OF ORONO <br /> * 20 1 6 - 00 1 52 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/11/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 435 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-21-31-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 6,000.00 <br /> NOTE: (1)BURNHAM FURNACE <br /> 105,000 INPUT BTU'S <br /> 88,200 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.00 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA,MN 55439- TOTAL 80.00 <br /> (952)835-7777 Payment(s) <br /> CHECK 11624 80.00 <br /> OWNER <br /> HEMMEKE,MELISSA <br /> 435 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATE111 <br /> ENT <br /> The work for which this permit is issued shall be performe according to <br /> the approved plans and specifications,applicable City appr vals,and the <br /> State Building Code. This permit is for only the work desc ibed and does <br /> not grant permission for additional or related work which r quires separate <br /> permits. All provisions of laws and ordinances governing is 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 canstruction 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 /> l 1 <br /> girsa .2_, ii , /e,. <br /> Applicant Permitee Signatur�� Datt Issue y Signature Date <br /> I <br />