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. CITY OF ORONO * 2 0 1 5 - 0 0 2 3 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2015 <br /> '' ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-11-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,000.00 <br /> NOTE: GAS LINES: 2 FIREPLACES, 1 RANGE, 1 DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> SCHULTIES PLUMBING MAIL-IN FEE 2.00 <br /> 1521 94TH LANE NE <br /> BLAINE,MN 55449 TOTAL 52.50 <br /> (651)786-4007 Payment(s) <br /> Minnesota State License#:plbg-058799PM,mech-MB005379 CHECK 33204 52.50 <br /> OWIVER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <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 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 sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 aze <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time for due cause. p�/J <br /> I�C�u �' �T ,�G, � <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />