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CITY OF ORONO * 2012 - 0101 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/15/201 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 1180 TONKAWA RD <br /> PIN 08-117-23-13-0006 <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 MECHANICAL-MULTIPLE <br /> VALUATION $ 3,300.00 <br /> NOTE: 1 TRANE NAT GAS FURNACE <br /> 1 AIR CLEANER <br /> APPLICANT MECHANICAL 50.00 <br /> RAY N.WELTER HEATING CO STATE SURCHARGE MECH(VALUATION) 1.65 <br /> 4637 CHICAGO AVE <br /> MINNEAPOLIS,MN 55407- MAIL-IN FEE 5.35 <br /> (612)825-6867 TOTAL 57.00 <br /> OWNER <br /> J D BYRD,DAVID TEMPLEMAN& <br /> 1180 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 Issue y gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AEOVE. <br />