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,,,�,� CITY OF ORONO * z 0 1 2 — 0 0 2 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012 <br /> ORONO, MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1396 BALDUR PARK RD <br /> PIN : 08-117-23-31-0002 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GAS STOVE <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE MECH (<$500) 5.00 <br /> 1424 3RD STREET N <br /> MINNEAPOLIS, MN 55411- MAIL-IN FEE 2.00 <br /> (763)755-6468 TOTAL 22.00 <br /> OWNER <br /> SCHROEDER, MIKE& KAT[E <br /> 1396 BALDUR PARK 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 /> [he 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 I 80 days of the date of issuance,or if construction is <br /> suspended f'or a period of 180 days at any time after work has commenced. <br /> '1'he 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 c�use. <br /> `7'Y�l.t�.c�( LiJ� l l � �j,✓� l l <br /> Applicant Permitee Signature Date Issued By Sig re �� te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />