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•� • CITY OF ORONO PERMIT NO.: 2011-01280 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �sSUEn: 10/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3640 BAYSIDE RD <br /> PIN : OS-117-23-21-OOII <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,900.00 <br /> NOTE: (1)SLANT FIN HLATING SYST�M <br /> MODGL-S-120 <br /> NATURALGAS <br /> 120.000[NPUT aTU'S <br /> APPLICANT MECHANICAL 111.25 <br /> SODERLIN PLUMBING STATE SURCHARGE MECH (VALUATION) 4.45 <br /> 3612 CEDAR AVE S <br /> MINNEAPOLIS, MN 55407- MAIL-1N FEE 2.00 <br /> (612)721-4080 TOTAL 117.70 <br /> PAID WITH CC# 1868 <br /> OWNER <br /> OLSON, HERBERT&JANE <br /> 3640 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I he work for which this permit is issued shall be performed according to <br /> Ihe 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 rela[ed work which requires separate <br /> pcnnits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[specitied herein. l�his permit will <br /> expire and become nidl and void if cons[ruction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> 'I'he applicant is responsible for assuring all required inspections are <br /> requested in conYonnance with the State Building Code.This permit may be <br /> revoke at any time for due � use. <br /> 1 D � �� l / �� � �,D� � <br /> Applicant Permitee Signature Date Issue By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />