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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - 004 <br /> 9 <br /> DATE ISSUED: 06/05/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1025 TONKAWA RD <br /> PIN : 08-117-23-24-0003 <br /> LEGAL DESC CARLWOOD <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 8,000.00 <br /> NOTE: (1)BOILER HEATING SYSTEM <br /> NATURAL GAS <br /> INPUT BTU'S- 125,000 <br /> OUTPUT BTU'S- 118,750 <br /> APPLICANT MECHANICAL 100.00 <br /> OC MECHANICAL INC STATE SURCHARGE MECH(VALUATION) 4.00 <br /> 16008 <br /> DUNKIRK STREET MAIL-IN FEE 2.00 <br /> HAM LAKE,MN 55304- TOTAL 106.00 <br /> (763)286-1340 PAID WITH CC# 1577 <br /> OWNER <br /> ANDRDA MESSINA,HUGH NEESON& <br /> 1025 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 /> revo d at any time for due cans . //nn <br /> Applicant Permitee Signature Date / <br /> ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />