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CITY OF ORONO PERMIT NO.: 2010-00847 <br /> 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE ISSUED: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1080 TONKAWA RD <br /> PIN 08-117-23-13-0011 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 009 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE HEATING SYSTEMS <br /> VALUATION $ 2,200.00 <br /> NOTE: 1 TEMPSTAR NAT GAS HEATING SYSTEM <br /> PAID BY 2 CHECKS:$53.10#51477&$3.90#51490 <br /> APPLICANT MECHANICAL 50.00 <br /> VOGT HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 3260 GORHAM AVE <br /> ST. LOUIS PARK,MN 55426- MAIL-IN FEE 2.00 <br /> (952)929-6767 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> BORMAN,MARVIN <br /> 3300 TONKAWA RD <br /> MINNEAPOLIS,MN 55402 <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 Sfignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVV. <br />