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CITY OF ORONO PERMIT NO.: 2009-00562 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1085 TONKAWA RD <br /> PIN 08-117-23-13-0003 <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 : GAS LINE ONLY <br /> NOTE: INSTALL DRYER <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(<$500) 0.50 <br /> 9320 EVERGREEN BLVD-SUITE B <br /> COON RAPIDS,MN 55433 MAIL-IN FEE 2.00 <br /> (763)757-6202 MISC FEE 0.00 <br /> TOTAL 17.50 <br /> OWNER <br /> GARDNER,MR.&MRS. <br /> 1085 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 BoSignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />