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' CITY OF ORONO PERMIT NO.: 2009-00817 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U16/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1950 CONCORDIA ST <br /> PIIV : 18-117-23-14-0016 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 600.00 <br /> NOTE: GASLING P'OR OU'fDOOR GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> TIGER HEATING&AIR STATE SURCHARGE MECH (VALUATION) 0.50 <br /> 6724 KINGSTON DRIVE <br /> EDEN PRAIRIE, MN 55346- TOTAL 50.50 <br /> (952)448-4769 PAID WITH CC# 9015 <br /> OWNER <br /> PETERS, WILLIAM& KAREN <br /> 1950 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work 1or which this permit is issued shall be performed according to <br /> the approvcd 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 goveming this type ofwork <br /> shall be compied with whether or not specified herein.'�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 permi[may be <br /> revoked at any time'For due caus <br /> �/, � , � i�� � � <br /> Applicant Permitee Signa e Date � Iss By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />