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• <br /> .4. CITY OF ORONO 111111121 II 1 1 1 1 1 1 1 III II 1 <br /> * 2017 - 00S4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 870 WINDJAMMER LA <br /> PIN : 07-117-23-11-0012 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,750.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE TO POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 0.88 <br /> 685 141ST LANE NW TOTAL 50.88 <br /> ANDOVER,MN 55304 Payment(s) <br /> (763)754-7119 CHECK 16643 50.88 <br /> Minnesota State License#: mech-MB003162 <br /> OWNER <br /> MITLYNG,BENJAMIN& SARA <br /> 870 WINDJAMMER LANE <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 tim or d cause. <br /> Ap icant Permitee Signature Date Issued By ature Date <br />