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, -� CITY OF ORONO * 2 0 1 7 - 0 0 z 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 500 OXFORD RD <br /> PIN : OS-117-23-41-0015 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 10,100.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)NATURAL GAS NIT HEATMG SYSTEM <br /> APPLICANT MECHANICAL 126.25 <br /> SODERLIN PLUMBING STATE SURCHARGE MECH(VALUATION) 5.05 <br /> 3612 CEDAR AVE S MAIL-IN FEE 2.00 <br /> MINNEAPOLIS,MN 55407- TOTAL 133.30 <br /> (612)721-4080 Payment(s) <br /> CHECK 42052 13330 <br /> OWNER <br /> NELSON,ALBIN&SUSAN <br /> 500 OXFORD RD <br /> LONG LAKE,MN 55356- <br /> AGREEMEIYT 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 oniy the work described and dces <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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � / � /�� <br /> Applicant P itee Signature Date Issued Signature Date <br />