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CITY OF ORONO PERMIT NO.: 201�-00232 <br /> � 2750 KELLEY PARKWAY <br /> l ORONO, MN 55356- DATE �ssUED: 04/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 895 FOREST ARMS LA <br /> PIN : 07-117-23-12-0015 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> COI�STRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 8,500.00 <br /> NOTE: 1 CARR[GR NAT. GAS FURNACL; <br /> 1 CARRIER2.�I�ON AC <br /> I <br /> � <br /> APPLICANT <br /> KATH HVAC MECHAN[CAL 106.25 <br /> 3096 RICE STREET STATE SURCHARGE MECH (VALUATION) 4.25 <br /> LITTLE CANADA, MN 551 I�- MAIL-[N FEE 2J5 <br /> (6�1)484-3326 MISC FEE 0.00 <br /> TOTAI. I 13.25 <br /> OWNER <br /> O'BRIEN, JOHN &CONNIE <br /> 895 FOREST ARMS LA <br /> MOUND, MN 55364 <br /> ACREEMENT AND SWORN STATEMENT <br /> l�hc���urk for which this permit is issued shall be perturmcd accor�ing to <br /> the approved plans and specifications,applicable Ciry approvals.�nd the <br /> State I3uilding Code. "fhis permit is for only the work described and does <br /> no[arant permission for additional or related work�vhich requires scparate <br /> pennits. All provisions of la�vs 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 aulhorized is not <br /> commenced within I SO days of the date of issuance,or if construction is <br /> � suspended for a period of 180 days at any time aftcr�vork has commenced. <br /> l�he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with die State I3uilding Code.This pcnnit may be <br /> revoked at any timc for due cause. <br /> \;�1'1-�- �� / / / / <br /> � npplicant Permitce Signature Date Issued By Sigi re at� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOU <br />