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liiiiiiiiiiiiiiiiiiiiillillilloillilim <br /> CITY OF ORONO * z 0 1 S - 0 1 0 1 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 980 TONKAWA RD <br /> PIN 08-117-23-12-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 5,364.82 <br /> NOTE: (1)LENNOX A/C <br /> APPLICANT MECHANICAL 67.06 <br /> STATE SURCHARGE MECH(VALUATION) 2.68 <br /> DEAN'S PROFESSIONAL PLUMBING MAIL-IN FEE 2.00 <br /> 7400 KIRKWOOD CT <br /> MAPLE GROVE,MN 55369- TOTAL 71.74 <br /> (612)817-0438 Payment(s) <br /> Minnesota State License#: BUIL-62187PM CHECK 8785 71.74 <br /> OWNER <br /> SMITH,CRAIG <br /> 980 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 Permitee Signature Date Issued By S gnature Date <br />