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" CITY OF ORONO PERMIT NO.: 20�0-0��85 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-117-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> • PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,840.00 <br /> NOTE: 1 MODINE HD45 NAT GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER PAID WITH CC# 3074 <br /> GRAY,JERRY&CYNTHIA <br /> 880 PARTENWOOD RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 type of work <br /> sha(I 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 il�e State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> "�'K.�t..t�C �- l � l l <br /> Applicant Permitee Signature Date Issued By Si ure <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE. <br />