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CITY OF ORONO * 2 0 1 3 - 0 0 1 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDFESS : 145 SMITH AVE <br /> PIN : 02-117-23-21-0019 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GAS LING FOR GAS PIRGPLACE&DRYER <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> G-HVAC STATE SURCHARGE MECH (<$500) 5.00 <br /> 16036 MALLARD WAY SE <br /> PRIOR LAKE, MN 55372- TOTAL 20.00 <br /> (612)619-9322 <br /> OWNER <br /> GHERARDI, LORI <br /> 2985 WATERTOWN RD <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> I'hc work for which this permit is issucd shall be performcd according to <br /> the approved plans and specitications,applicablc City approvals,and thc <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 separatc <br /> pennits. All provisions of laws and ordinances govcming this type of work <br /> shall be compied with whether or not specified herein."I�his 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 Cor 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 conformanc �ith the State Building Code.1�his permit may be <br /> revok� t ny time f due c�use. �� <br /> / � , <br /> ( <br /> <�//� `jJ'<i��.L.f t' `--��'L/ /�� � if <br /> ica , mitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />