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� CITY OF ORONO * 2 0 1 6 - 0 1 3 7 7 * <br /> � 2750 KELLEY PARKWAY <br /> , DATE ISSUED: 10/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 725 SIXTH AVE N � <br /> PIN : 26-118-23-44-0006 <br /> LEGAL DESC : LJNPLATTED 25 118 23 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> FIREAPLCE GASLINE BACK TO PATIO <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.15 <br /> NRH PLUMBING INC. MpIL-IN FEE 2.00 <br /> 6460 153RD LN <br /> RAMSEY,MN 55303- TOTAL 5215 <br /> (612)245-7280 Payment(s) <br /> Minnesota State License#:plbg-067436 PM CHECK 5007 52.15 <br /> OWNER <br /> Spring Hill Golf Club <br /> 725 SIXTH AVE N � <br /> WAYZATA,MN 55391- <br /> � <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. Ali 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 /> �� � z�, <br /> Applicant Permitee Signature Date �ssued y ignature Date ,, <br />