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CITY OF ORONO * Z 0 1 2 - 0 0 5 7 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2012 <br /> ' ORONO, MN 55356- <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 : MECHANICAL-MULTIPLE <br /> VALUATION : $ 500.00 <br /> NOTE: (1)KITCHEN EXHAUST-500 CFM <br /> GASLINE-RECONNECT NEW RANGE <br /> APPLICANT MECHANICAL 50.00 <br /> 7 METRO HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 609 150TH AVE NE TOTAL 50.25 <br /> HAM LAKE,MN 55304- <br /> OWNER <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 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revo�d at any 'me for ue cause. <br /> ��' � �pl i a � l �i /� <br /> Applicant ermitee Signature Date I By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />