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,- CITY OF ORONO PERMIT NO.: 2011-00133 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 500 TONKAWA RD <br /> PIN 05-117-23-32-0003 <br /> LEGAL DESC REG. LAND SURVEY NO. 1305 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 2,940.00 <br /> NOTE: (2)KITCHEN EXHAUST DOWN DRAFT HOODS-500 CFMS <br /> GASLINES FOR(3)COOKTOPS IN KITCHEN <br /> APPLICANT MECHANICAL 50.00 <br /> ALTA HEATING&PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 19260 MUSHTOWN RD <br /> PRIOR LAKE,MN 55372 TOTAL 55.00 <br /> O PAID WITH CC# 1895 <br /> Minnesota State License#: 60886PM <br /> OWNER <br /> NELSON,MR.&MRS. <br /> 500 TONKAWA RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according 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 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 conformance with the State Building Code.This permit may be <br /> revoked at any ti f r due cause. ?� <br /> Applicatit Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />