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CITY OF ORONO PERMIT NO.: 2011-01455 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/21/2011 <br /> * (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1045 WILDHURST TR <br /> PIN : 07-117-23-24-0030 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT 057 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: NEW MAIN GAS LINE FROM LP TO NATURAL GAS <br /> APPLICANT MECHANICAL 50.00 <br /> UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 5115 INDUSTRIAL STREET <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 <br /> (763)479-6325 MISC FEE 0.00 <br /> TOTAL 52.25 <br /> OWNER <br /> MCKENNEY,MICHEAL <br /> 1045 WILDHURST TR <br /> MOUND,MN 55364 <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 is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issue :y S , ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A4 E. <br />