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CITY OF ORONO PERMIT NO.: 2011-00404 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/31/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1065 TONKAWA RD <br /> PIN : 08-117-23-13-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 5,200.00 <br /> NOTE: 1 LUXAIRE 1.5 TON AC <br /> 1 BATH EXHAUST <br /> i <br /> APPLICANT MECHANICAL 65.00 <br /> GREAT WEST MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.60 <br /> 19740 200 AVE.NW TOTAL 67.60 <br /> BIG LAKE,MN 55309 <br /> O PAID WITH CC# 5709 <br /> Minnesota State License#: 003987PM <br /> OWNER <br /> BEBO,JAMES <br /> 1065 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'gignalfre Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />