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'� ' � CITY OF ORONO * z 0 1 6 - 0 0 2 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 BRIAR ST <br /> PIN . 10-ll7-23-31-0053 � ,� �'� - � _ .,.,� <br /> LEGAL DESC . MARKVILLE T w ` "�x +����� <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 370.00 <br /> NOTE: GASLINE FOR RANGE AND GASLINE FOR DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.19 <br /> AIR MECHANICAL, INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE, MN 55304 TOTAL 52.19 <br /> (763)4347747 Payment(s) <br /> Minnesota State License#: mech-MB005122 CHECK 047341 52.19 <br /> OWNER <br /> SUMMIT, MR. . � � <br /> 1380 BRIAR ST � <br /> WAYZATA 91- �' <br /> � <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 goveming this type of�vork <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 cons[ruction is <br /> suspended for a period of 180 days at any time atter 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 time for due cause. <br /> � , G `�tiv(�-� � l / l /(o <br /> Applicant Permit��d- Date Issued y Signature Date <br />