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� CITY OF ORONO *� _ 0 0 6 2 5 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1485 GREEN TIZEES RD <br /> PIN : 11-117-23-23-0011 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUAT[ON : $ 1,485.00 <br /> NOTG: GASLINE FOR OUTDOOR GRILL <br /> 2-GAS GENF,RATORS <br /> APPLICANT MECHANICAL 50.00 <br /> S R MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 0.74 <br /> 7320 OXFORD ST <br /> SUITE 200 MAIL-IN FEE 2.00 <br /> ST. LOUIS PARK, MN 55426- TOTAL 52.74 <br /> (952)933-6933 PAID WITH CC# 7658 <br /> OWNER <br /> MARLIEM& MAI THOR,JOHANNES <br /> 1485 GREEN TREES RD <br /> WAYZATA, MN 55391- <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 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 iY construction is <br /> suspended for a period of 180 days at any time after 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 /> C .� 7, � ,� , � , <br /> Applieant Permitee Signature Date Iss ed By Signa ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />