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CITY OF ORONO PERMIT NO.: 2011-01419 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1 V09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1030 TONKAWA RD <br /> PIN : 08-117-23-13-0015 <br /> LEGAL DESC REG.LAND SURVEY NO.0617 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 3,750.00 <br /> NOTE: 2 MODINE NAT GAS HEATING SYSTEMS <br /> 1 BATH EXHAUST <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> KALMES MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 1.88 <br /> 15440 SILVEROD ST NW TOTAL 51.88 <br /> ANDOVER,MN 55304 <br /> (763)300-6231 <br /> OWNER <br /> BREMER,DENNIS&CYNTHIA <br /> 1030 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 atAiy time for due c ise. <br /> Appli46t Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER MAN DESCRIBED ABOVE. <br />