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CITY OF ORONO PERMIT NO.: 2009-00800 <br /> 0 • <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/10/2009 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4040 WATERTOWN RD <br /> PIN : 31-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GASLINE FOR RANGE IN KITCHEN AND DRYER <br /> APPLICANT <br /> CREAR, ERIC MECHANICAL(<$500) 15.00 <br /> 4040 WATERTOWN RD STATE SURCHARGE MECH(<$500) 0.50 <br /> MAPLE PLAIN,MN 55359- TOTAL 15.50 <br /> OWNER <br /> CREAR,ERIC <br /> 4040 WATERTOWN RD <br /> MAPLE PLAN,MN 55359- <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 /> suspende. Ira period of 180 days at any time after work has commenced. <br /> The app . t is responsible fo . s ring all required inspections are <br /> request.8 confo• ance wi the.tate Buil, Code.This permit may be <br /> revo •o. ...y)1,•/ tr due au <br /> /. li /< < <br /> j // /a S <br /> A <br /> Iss -• By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />