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CITY OF ORONO * 2 0 1 3 - 0 1 0 1 8 <br /> 4 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 692 TONKAWA RD <br /> PIN 05-117-23-33-0013 <br /> LEGAL DESC PARTENS POINT 1 ST DIV <br /> LOT 007 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 3,624.00 <br /> NOTE: (1)BRYANT FURNACE-NATURAL GAS- 100,000 INPUT BTU'S-96,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 50.00 <br /> STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.81 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 <br /> 612-824-2656 TOTAL 53.81 <br /> OWNER <br /> PUGH,BARBARA <br /> 692 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 /> revgked at any time for due e. <br /> 911:)O,j <br /> Applicant Permitee Signature Date Issue y tg ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />