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' CITY OF ORONO PERMIT NO.: 2010-00061 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssUEn: 02/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2879 CASCO POINT RD <br /> PIN : 20-117-23-31-0054 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 101 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: RUN GASLINE FOR FIREPLACE <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> VICTORIA PLUMBING STATE SURCHARGE MECH (<$500) 0.50 <br /> 1855 WEST 80TH ST TOTAL 15.50 <br /> P.O. BOX 174 <br /> VICTORIA,MN 55386 PAID WITH CC# 2850 <br /> (952)443-0034 <br /> Minnesota State License#: 005584PM <br /> OWNER <br /> ELSEN, LAWRENCE& KATHLEEN <br /> 2879 CASCO PT 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 /> the approved plans and specifications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additioual 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 specitied herein.This permit will <br /> expire and become null and id if construction authorized is not <br /> commenced within 18��a �the date of issuance,or if construction is <br /> suspended or peno 0 1 0 ays at any timc after work has commcnced. <br /> T app' a t resp isi I f a iequired inspections are <br /> equeste n orm iic ith he State[3uilding Code.This pennit may be <br /> revok a a imef ue� se. <br /> � � � S' �o��/v <br /> phcant Permitee Signature Date ed By Signalure Date <br /> SEPARATE PERMITS REQUIRED FOR WOR OTHER THAN DESCRIBED ABOVE. <br />