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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 13 - 01 1 5 0 <br /> r DATE <br /> E ISSUED: 10/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 760 TONKAWA RD <br /> PIN 05-117-23-34-0007 <br /> LEGAL DESC PARTENS POINT IST DIV <br /> LOT 013 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 25,000.00 <br /> NOTE: I RUUD NAT GAS FURNACE <br /> 1 LOCHNIVAR BOILER <br /> 1 RUUD 3.5 TON AC <br /> 1 KITCHEN EXHAUST <br /> 4 BATH FANS <br /> GAS LINES TO DRYER,STOVE,FURNACE <br /> APPLICANT <br /> MECHANICAL 312.50 <br /> LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 12.50 <br /> 1371 144TH STREET TOTAL 325.00 <br /> NEW RICHMOND, WI 54017- <br /> (612)940-4565 <br /> Minnesota State License#: PC671215 <br /> OWNER <br /> BORDSON,BRENT&NANCY <br /> 760 TONKAWA 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 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 /> Q_PIg, O '-4 <br /> Applicant Permitee Signature Date Issued By Si atureate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED A <br />