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CITY OF ORONO I II � ILL 2750 KELLEY PARKWAY 0 1 5 6 <br /> DATE ISSUED: 02/27/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 565 OLD CRYSTAL BAY RD S <br /> PIN : 04-11723-31-0010 <br /> LEGAL DESC : AUDIOR'S SUBD.NO.230 <br /> : LOT 23 BLOCK 000 <br /> PERMIT TYPE : MEC NICAL(>$500) <br /> PROPERTY TYPE : RESI NTIAL <br /> CONSTRUCTION TYPE : HEAT G SYSTEMS <br /> VALUATION : $ 3,10 .00 <br /> NOTE: 1 RUUD NAT GAS FURNACE <br /> • <br /> APPLICANT MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.55 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS,MN 55433 TOTAL 53.55 <br /> (763)757-6202 <br /> OWNER <br /> LEMKE,BRUCE&LINNE <br /> 565 OLD CRYSTAL BAY RD S <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 week 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 afterork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> At <br /> requested in conformance with the State Building C de.This permit may be <br /> revoked at any time fok due cause. <br /> Applicant Permitee Signature Date Issued By nature Air Date , <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB I E.E. <br />