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CITY OF ORONO 111111111111 111111111111111111111111 I <br /> * 20 1 5 - 0 0 7 8 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,500.00 <br /> NOTE: INSTALL(1)REZNORGARAGE HEATER AND GASLINE 70,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> PERFECTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 1770 GERVAIS AVE MAIL-IN FEE 2.00 <br /> MAPLEWOOD,MN 55109 TOTAL 53.25 <br /> Payment(s) <br /> CREDIT CARD 7179 53.25 <br /> OWNER <br /> BERRELL,ROBERT&KAREN <br /> 2740 WHITE OAK CIR <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 /> ( d- ,� /Y//-5- <br /> Applicant <br /> Y /SApplicant Permitee Signature Date Issue ' .ignature 1) Date <br />