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CITY OF ORONO PERMIT NO.: 2011-00464 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- DATE IssuEn: 06/14/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1406 BOHNS POINT RD <br /> PIN : 09-117-23-33-0015 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 BURNHAM NAT. GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 3508 SNELLING AVENUE <br /> MINNEAPOLIS, MN 55406- MAIL-IN FEE 5.00 <br /> (612)729-5646 MISC FEE 0.00 <br /> Minnesota State License#: 066835 TOTAL 57.00 <br /> OWNER <br /> STEWART, LARA <br /> 1406 BOHNS PT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specilications,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 lhe date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime atter 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />