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CITY OF ORONO <br /> * 2016 - 00805 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 WILLOW HILL DR <br /> PIN : 03-117-23-32-0026 <br /> LEGAL DESC : WILLOW HILL <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,775.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASI,INE TO A POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 0.89 <br /> 685 141ST LANE NW TOTAL 50.89 <br /> ANDOVER,MN 55304 Payment(s) <br /> (763)754-7119 CHECK 16146 50.89 <br /> Minnesota State License#:mech-MB003162 <br /> OWNER <br /> SHAH&NIMA DESAI,NIHAR <br /> 2300 WILLOW HILL DR <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 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 ti for• e cause. <br /> Ap i Iicant Permite Signature Date Issued .Signature Date <br />