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CITY OF ORONO PERMIT NO.: 2008-00296 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/14/2008 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 765 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-21-0001 <br /> LEGAL DESC : UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: SCOPE OF WORK:RELOCATE GAS PIPING PER THE ATTACHED DRAWING <br /> APPLICANT MECHANICAL 125.00 <br /> DOODY MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 520 FRONT AVE <br /> ST.PAUL,MN 55117 MAIL-IN FEE 1.50 <br /> 0 TOTAL 131.50 <br /> OWNER <br /> SCHOOLS,ORONO PUBLIC <br /> 765 OLD CRYSTAL BAY RD N <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 /> JrA <br /> nfrver /o - 7v -00 <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />