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CITY OF ORONO PERMIT NO.: 2010-00660 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08103/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 240 WAKEFIELD RD <br /> PIN 36-118-23-31-0011 <br /> LEGAL DESC WAKEFIELD FARMS 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION $ 300.00 <br /> NOTE: ADD 12"TO EXISTING LINE TO GAS GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> DON BROLL PLUMBING STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 5760 DRAKE DRIVE TOTAL 55.00 <br /> MAPLE PLAIN,MN 55359 <br /> (612)270-1483 <br /> Minnesota State License#:058365 PM <br /> OWNER <br /> FERRIL,WILLIAM&ELENOR <br /> 240 WAKEFIELD RD <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 r' <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 /> revokqolay time for due cause. <br /> Applicant Permitee Signature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE A OVE. <br />