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L <br /> • CITY OF ORONO * 2 pJ 1 4 - 0 0 4 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2526 SANDSTONE LA <br /> PIN : 33-118-23-11-0018 <br /> LEGAL DESC : STONEBAY <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,200.00 <br /> NOTE: GAS LINE FOR 2 FP, 1 RANGE, 1 DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> SCHULTIES PLUMBING STATE SURCHARGE MECH(VALUATION) 0.60 <br /> 1521 94TH LANE NE MAIL-IN FEE 2.00 <br /> BLAINE, MN 55449 MISC FEE 0.00 <br /> (651)786-4007 TOTAL 52.60 <br /> Minnesota State License#: plbg-058799PM,mech-MB005379 Payment(s) <br /> CREDIT CARD 6777 52.60 <br /> OWNER <br /> Stonebrook Homes <br /> 1016 COVEWTRY PL <br /> EDINA, MN 55424- <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 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 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 / / <br /> Applicant Permitee Signature Date Issued By Sig re Date <br />