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RIBRUMNIM <br /> CITY OF ORONO * 2 0 1 3 - 0 1 2 0 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2425 THOROUGHBRED LA <br /> PIN : 04-117-23-11-0018 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 001 BLOCK 002 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION $ 450.00 <br /> NOTE: GAS LINE FOR STAND BY GENERATOR <br /> APPLICANT MECHANICAL 50.00 <br /> MECHANICAL AIR SYSTEMS STATE SURCHARGE MECH(VALUATION) 0.23 <br /> 1473 91ST AVE.NE TOTAL 50.23 <br /> BLAINE,MN 55449- <br /> PAID WITH CASH 50.23 <br /> OWNER <br /> DEJUTE,PAUL&SUSAN <br /> 2425 THOROUGHBRED LA <br /> LONG LAKE,MN 55356- <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 isrespons' le for ring all required inspections are <br /> requested in confo wit State Building Code.This permit may be <br /> revoked at a or due se. / <br /> r <br /> pl' t Po6nitergnature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />