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� ' CITY OF ORONO PERMIT NO.: 20��-014�� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 1 U23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1635 BOHNS POINT RD <br /> PIN : 17-117-23-11-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULT[PLE <br /> VALUATION : $ 24,000.00 <br /> NOTE: (1)BRYANT HTG SYSTEM-NATURAL GAS-2°FLUE-80K INPUT,76K OUTPUT, 1,000 CFM <br /> (1)MODINE HTG SYS"CEM-HOT DAQG-NATURAL GAS-4°FLUE-40K INPUT,32K OUTPUT <br /> (1)K[TCHEN EXHAUST-DUCT-300 CFM <br /> (5)BATH EXHAUST 50-100 CFM <br /> (l)DRYER VENT-250 CFM <br /> GASLINE FOR OUTDOOR GRILL <br /> APPLICANT MECHANICAL 300.00 <br /> AIR QUALITY SERVICES, INC. STATE SURCHARGE MECH (VALUATION) 12.00 <br /> 6221 CAMBRIDGE STREET TOTAL 312.00 <br /> BOX A6 <br /> ST LOUIS PARK, MN 5541Cr <br /> (952)928-3835 <br /> OWNER <br /> KOZLAK, STNICK&JODEE <br /> 1635 BOHNS PT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvais,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 whe[her or not specified herein.This permi[will <br /> cxpire and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction 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 confor ance it the Sta[e Building Code.This permit may be <br /> revoked at any t for d c use. <br /> .--7 , � l•� <br /> � � L � � /�:� � �� � � <br /> plicant Permitee Signature Date [ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />