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` � CITY OF ORONO <br /> * 2 0 1 5 - 0 0 3 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 175 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0015 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,475.00 <br /> NOTE: GASLINE FOR POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUATION) 0.74 <br /> 685 141ST LANE N W TOTAL 50.74 <br /> ANDOVER, MN 55304 Payment(s) <br /> (763)754-7119 CHECK 15293 50.74 <br /> Minnesota State License#: mech-MB003162 <br /> OWNER <br /> RIGLEY,JOHN& STEPHANIE <br /> 175 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356- <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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit wili <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring aIl required inspections are <br /> requested in conformance with the State Building Code.This permi[may be <br /> revoked a[any time fo due cause. <br /> � � <br /> °l � � � � ���J �- /�/ //� <br /> Ap cant ermite igna ure Date [ssued y Signature Date <br />