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• CITY OF ORONO * z 0 1 5 - 0 0 z 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2345 BLAINE AVE <br /> PIN : 17-117-23-34-0011 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 009 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 2,180.00 <br /> NOTE: (1)REZNER HEATING SYSTEM <br /> NATURAL GAS <br /> 4" FLUE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.09 <br /> MARSH HEATING&AIR COND TOTAL 51.09 <br /> 6248 LAKELAND AVE N Payment(s) <br /> MINNEAPOLIS, MN 55428- CHECK 85584 51.09 <br /> (763)536-0667 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE), CITY OF ORONO <br /> BLAINE AVE <br /> PO BOX 66 <br /> CRYSTAL BAY, MN 55323- <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 /> Sta[e Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires sepazate <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 construc[ion 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 conforman State Building Code.This permit may be <br /> revoked at any time f r due cause <br /> l- (,� �i�YvL-��---- � ��`'i LS <br /> Applic nt er 'tee Signature Date Issue y Signature Date <br />