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CITY OF ORONO * Z 0 1 5 - 0 0 0 6 2 * <br /> T � 2750 KELLEY PARKWAY DATE ISSUED: OU20/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3535 CHRISTINE DR <br /> PIN : OS-117-23-12-0019 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 650.00 <br /> NOTE: GASLINE FOR FIREPLACE AND RANGE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.33 <br /> MASSMANN, GEOTHERMAL&MECH MAIL-IN FEE 2.00 <br /> 27944 96TH STREET <br /> ZIMMERMAN,MN 55398 TOTAL 52.33 <br /> (763)416-5066 Payment(s) <br /> CHECK 4211 52.33 <br /> OWNER <br /> NELSON,ERIC&MCOLE <br /> 3535 CHRISTINE DR <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which[his 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[he 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 specitied 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 l80 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 permi[may be <br /> revoked a[any time fgr due cause. <br /> C�-' / / �U i�� <br /> A cant Permitee Signature Dat Iss By Signature Date <br />