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;�. CITY OF ORONO PERMIT NO.: 2009-00722 <br /> " 2750 KELLEY PARKWAY <br /> ♦ ORONO, MN 55356- DATE ISSUEn: 10/19/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2940 SIXTH AVE N <br /> PIN : 28-118-23-31-0001 <br /> LEGAL DESC : LJNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: CONNECT EXISTING GASLINE TO A NEW METER 2 FEET AWAY. <br /> APPLICANT MECHANICAL 50.00 <br /> WENCL SERVICES,INC. STATE SURCHARGE MECH(VALUATION) 0.50 <br /> 8148 PILLSBURY AVE. S. <br /> BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 <br /> (952)881-1557 TOTAL 52.50 <br /> PAID WITH CC# X�oc <br /> OWNER <br /> Stonegate Farm <br /> 6851 FLYING CLOUD DR <br /> EDEN PRAIRIE,MN 55344 <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. Ali 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 consWction 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 permit may be <br /> revoked at any time for se. <br /> /�ai / 9'i D �p� � � <br /> Applicant Pe itee Signature Date s e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />