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t �' CITY OF ORONO <br /> t 2750 KELLEY PARKWAY * � 0 1 7 - PJ 0 4 7 2 * <br /> DATE ISSUED: 05/09/2017 <br /> ORONO,MN 5535(r <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2010 SHORELINE DR <br /> PIN : 10-117-23-31-0001 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : GAS LINE ONLY <br /> VALOATION : $ 300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL MSPECTION. <br /> GASLME FOR STOVE/COOK-TOP <br /> APPLICANT MECHANICAL 50.00 <br /> A JOHNSON PLUMBING INC STATE SURCHARGE MECH(VALUATION) 0.15 <br /> 17285 211TH AVE TOTAL 50.15 <br /> BIG LAKE,MN 55309- Payment(s) <br /> Minnesota State License#:plbg-PC642542 CREDIT CARD 3222 50.15 <br /> OWNER <br /> REDMOND,THOMAS <br /> 2010 SHORELINE DR <br /> WAYZATA,MN 55391- <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 separate <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 res ible for assuring all r uired inspections are <br /> requested in co rm ce with the State B ng Code.This permit may be <br /> revoked at a time or due cause. <br /> � � . <br /> �� � i � i�� <br /> Ap ' ermitee Signature Date ssued B ignature Date <br />