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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 3 2 5 * <br /> DATE ISSUED: 1 U13/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 578.00 <br /> NOTE: CONVERT FURNACE AND DRYER FROM PROPANE TO NATURAL GAS <br /> APPLICANT MECHANICAL 50.00 <br /> CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 0.29 <br /> 1880 WAYZATA BLVD W TOTAL 50.29 <br /> P.O.BOX 150 Payment(s) <br /> LONG LAKE, MN 55336 CHECK 34947 50.29 <br /> (952)473-8793 <br /> OWNER <br /> Stephenson Holdings <br /> 1850 FOX RIDGE RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AiND 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 addit�onal or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whethe#or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days af the date of issuance,or if consVuction is <br /> suspended for a period of 180 days at any[ime 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 ue cause. <br /> �� l3 l L �.�3 �� <br /> A icant Perm�tee Signature D te Issu By Signature Date <br />