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, -� CITY OF ORONO * z 0 1 3 - 0 1 2 5 3 * <br /> 2750 KELLEY PARKWAY pATE �SSUED: 12/02/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 FRENCH CREGK DR <br /> PIN : 10-117-23-23-0001 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 001 BLOCK 001 <br /> PFRMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : t-{EATING SYSTEMS <br /> VALUATION : $ 3,800.00 <br /> NU"I�}�:: 1 BRYAN"I�N�1"I�GAS FURNACI�; <br /> APPL[CANT MECHAN[CAI, 50.00 <br /> HEATING & COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 1.90 <br /> 18550 COUNTY ROAD 81 <br /> MAPI,E GROVE, MN 55369- TOTAL 51.90 <br /> (763)428-3677 <br /> OWNER <br /> W WSLOW, CLARK& SHARON <br /> 1205 FRENCH CREEK DR <br /> WAYLATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be perCormed according to <br /> d�e approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only thc work describcd and does <br /> not grant permission tbr additional or related work which requires separate <br /> permits. All provisions of la��s and ordinances governing Chis type of work <br /> shall be compied ti ith ti�hether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced widiin I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced- <br /> I�he applicant is responsible for assuring all required inspections are <br /> requested in confom�ance with the State Building Codc."I�his permit may bc <br /> revoked at anv time for due cause- <br /> l l '' �%�l�/�'�—'�' l l <br /> npplicant Permitee Signature Date Issue y � nature � D <br /> SFPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB <br />