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CITY OF ORONO * 2014 - 00215 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 <br /> s ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952)249-4616 <br /> ADDRESS 935 TONKAWA RD <br /> PIN : 08-117-23-21-0013 <br /> LEGAL DESC VASA PARK <br /> LOT 004 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION $ 3,850.00 <br /> NOTE: 1 GOODMAN NAT GAS FURNACE <br /> APPLICANT MECHANICAL 50.00 <br /> SEDGWICK HEATING&A/C <br /> STATE SURCHARGE MECH(VALUATION) 1.93 1408 NORTHLAND DR-SUITE 310 MAIL-IN FEE 1.99 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 53.92 <br /> (952)881-9000 Payment(s) <br /> CHECK 14755 53.92 <br /> OWNER <br /> MCLELLAN, WILLIAM <br /> 935 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 time for due cause. <br /> Applicant Petmitee Signature Date Issued By Signature Date <br />