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� CITY OF ORONO *Z 0 1 6 _ 0 1 3 5 2 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 3,200.00 <br /> NOTE: ALL T�STING REPORTS SHALL BE ON SITE AT FINAL INSPEC"I'[ON. <br /> GASLINE ONLY FOR OUTDOOR GRILL AND OUTDOOR FIREPIT. <br /> APPLICANT MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.60 <br /> METRO GAS INSTALLERS TOTAL 51.60 <br /> 685 141ST LANE NW Payment(s) <br /> ANDOVER, MN 55304 CHECK 16346 51.60 <br /> (763)754-7119 <br /> Minnesota State License#: mech-MB003 l62 <br /> OWNER <br /> O'CONNELL& LYNNE RASUMSSEN,BRIAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 permit is for only the work described and docs <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 compicd with whether or not specified herein.This permit�rill <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�period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all requi ed inspections are <br /> requested in conformance w' the State ui � Code.This permit may be <br /> revoked at any time or d aus /� <br /> y � <br /> cn� �/�'U'�/ � 0 lrt' LO /-� / �� <br /> � � � � � � <br /> Appli nt ermitee Signature Date Issued By 'gnature Date <br />