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� ' CITY OF ORONO * 2 0 1 2 - 0 0 7 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2012 <br /> � � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1300 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0015 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,400.00 <br /> NOTB: GASLINE FOR A POOL HEATER-266,000 <br /> APPLICANT MECHAN[CAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUAT[ON) 0.70 <br /> 685 141ST LANE NW TOTAL 50.70 <br /> ANDOVER, MN 55304 <br /> (763)754-71 19 <br /> OWNER <br /> DEBORAH HOPP, CHRISTOPHER DAHL <br /> 1300 FRENCH CREEK DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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 work <br /> shall be compied with whe[her 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 1 AO days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confor anc wit the State Iding Code.This permit may be <br /> revoked at any fo du se. <br /> 6 �' � r' C� i � i /�' <br /> �� 8 i D / i /� <br /> Applic nt Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />