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' CITY OF ORONO * 2 0 1 3�— 0 PJ 7 6 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/05/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1100 MILLSTON RD <br /> PIN : 10-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> NOTE: GENERATOR/OUTSIDE BY POOL HOUSE <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> RIVERSIDE MECHANICAL STATE SURCHARGE MECH(<$500) 5.00 <br /> 12460 ZINRAN AVENUE <br /> SAVAGE,MN 55378- MAIL-IN FEE 2.00 <br /> Minnesota State License#: PC644809 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> OWNER <br /> BURWELL,MR.&MRS.RODNEY P <br /> 1100 MILLSTON ROAD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 sepazate <br /> permits. All provisions of laws and ordinances governing this rype 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 t"duse. <br /> �-/L�.�.c.� C�, / / l l <br /> Applicant Permitee Signature Date <br /> Issued By Si ture e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />