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CITY OF ORONO PERMIT NO.: 2009-00712 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuED: 10/15/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1035 HERITAGE LA <br /> PIN : 10-117-23-13-0009 <br /> LEGAL DESC : FOXHILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> THOMPSON PLUMBING STATE SURCHARGE MECH(<$500) 0.50 <br /> 15001 MINNETONKA IND RD TOTAL 15.50 <br /> MINNETONKA,MN 55345 <br /> (952)933-7717 <br /> OWNER <br /> FRITZ,JEFF& ELLEN <br /> 1035 HERITACE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 governing[his type of work <br /> shall be compied with whe[her or not specitied 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 construc[ion 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 /> reques in conforniance with the State Building Code.This permit may be <br /> revoked a[ y ti�for due cause. <br /> / <br /> `� �'"__` � ( � / �� / l�� �Q/ / � <br /> Applicant Permitee Signature Date d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />