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CITY OF ORONO * Z 0 1 3 - 0 0 4 5 7 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2013 <br /> ORONO,MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,700.00 <br /> NOTE: 1 NY THERMAL TFT 175 NAT GAS BOILER <br /> � <br /> �f r�t i <br /> h ��h � <br /> �!��� <br /> d w �� <br /> APPLICANT MECHANICAL 71.25 <br /> SIGNATURE MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 2.85 <br /> 8260 ARTHUR STREET NE <br /> SUITE A TOTAL 74.10 <br /> SPRING LAKE PARK, MN 55432- PAID WITH CC# 0300 <br /> (763)788-9844 <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,MN 55391- <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 Ciry 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 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 aIl required inspections aze <br /> requested in conforman ith the State Buil ing Code.This permit may be <br /> revoke t any ti or d cause. <br /> CD ��e � i i <br /> App an rmitee Signature Date Issued By Sign re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />