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CITY OF ORONO PERMIT NO.: 2010-00388 <br /> . 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE �ssuEn: OS/26/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2905 FOX ST <br /> PIN : 04-117-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 230 <br /> : LOT 035 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,000.00 <br /> NOTG: 1 NA'I'. GAS HEATING SYSTEM <br /> 1 GAS LINE"I'O POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUATION) 1.00 <br /> 685 141ST LANE NW <br /> ANDOVER, MN 55304 TOTAL 51.00 <br /> (763)754-71 19 <br /> OWNER <br /> FRANCIS, MICHAEL&BERIT <br /> 2905 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> l he work for«hich 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 permi[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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 80 days at any time after work has commenced. <br /> The applicant is re pon le Yor assuring all required inspections are <br /> requcsted in con rm �e wi the State ilding Code.This permit may be <br /> revoked at a me r du 'c us <br /> � � � / / <br /> Applicant Permitee Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER HAN DESCR[BED ABOV . <br />