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CITY OF ORONO <br /> * 2015 - <br /> 2015 - 0 1 3 0 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 755 TONKAWA RD <br /> PIN 05-117-23-33-0003 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 4,250.00 <br /> NOTE: GASLINE TO GARAGE HEATER <br /> APPLICANT MECHANICAL 53.13 <br /> STATE SURCHARGE MECH(VALUATION) 2.13 <br /> STANDARD HEATING&AIR CONDITIONING TOTAL 55.26 <br /> 130 PLYMOUTH AVENUE N. Payment(s) <br /> MINNEAPOLIS,MN 55411- CHECK 49744 55.26 <br /> 612-824-2656 <br /> OWNER <br /> ROGERS,JOHN&LOUIS <br /> 755 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 time for due se. <br /> -5 � <br /> Applicant ermitee Signature Date Issued By Onature Date <br />