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CITY OF ORONO PERMIT NO.: 2oiaoos9s <br /> , 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUEn: 09/24/2010 <br /> 952 �249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-00�4 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 2,875.00 <br /> NOTE: GAS LINE <br /> APPLICANT MECHANICAL 50.00 <br /> METROPOLITAN MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 7340 WASHINGTON AVE S <br /> EDEN PRAIRIE,MN 55344- MISC FEE 0.00 <br /> () TOTAL 55.00 <br /> PAID WITH CC# 4711 <br /> OWNER <br /> Freshwater Foundation <br /> CARGILL INC <br /> PO BOX 5626 <br /> MINNEAPOLIS,MN 55440- � <br /> AGREEMENT AND SWORN STATEMEN'� <br /> The work for which this permit is issued shall be performed accor ng to <br /> the approved plans and specifications,applicable City approvals, d the <br /> State Building Code. This permit is for only the work described an does <br /> not grant permission for additional or related work which requires�eparate <br /> permits. All provisions of laws and ordinances governing this type Iof work <br /> shall be compied with whether or not specified herein.This permit�vill <br /> expire and become null and void if construction authorized is not I <br /> commenced within I80 days of the date of issuance,or if constructibn is <br /> suspended for a period of 180 days at any time after work has com�enced. <br /> The applicant is responsible for assuring all required inspections az6 <br /> requested in conformance with the State Building Code.This permil may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issue By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO . <br />