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CITY OF ORONO * 2 0 1 5 - 0 0 4 0 1 * <br /> '" 2750 KL+'LLEY PARKWAY DATE ISSUED: 04/09/2015 <br /> , ORUNO, MN 55356- <br /> 952 249-4G00 FAX: 952 249-4616 <br /> ADDRESS : 2474 SANDSTONE LA <br /> PIN : 33-118-23-11-0027 <br /> LEGAL DESC : STONEBAY <br /> : LOT 024 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: REPLACE EXISTING GAS FOR COOKTOP <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> STATE SURCHARGE MECH(<$500) 5.00 <br /> FRIENDLY HOME SERVICES MAIL-IN FEE 2.00 <br /> 7510 LANNON AVE NE <br /> OTSEGO, MN 55301- TOTAL 22.00 <br /> (763)331-1274 Payment(s) <br /> Minnesota State License#: mech-MB676827 CREDIT CARD 1494 22.00 <br /> OWNER <br /> OINES, LESLIE <br /> 2474 SANDSTONE LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIv'� <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 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 all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> c�� <br /> ' ( ��`..�< ������� �l � � � l� <br /> Applicant P rm tee 'g a ure Date Issued By Signature Date <br />