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* f <br /> CITY OF ORONO PERMIT NO.: 2010-00128 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 553�6- DATE IssUEu: 03/08/2010 <br /> 952 249-4C00 FAX: 9�2 249-4616 <br /> ADDRESS : 4149 HIGHWOOD RD <br /> PIN : 07-]17-23-44-0018 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) � <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHl�Dd�tAL- MJ�L�I`IPLE ,,<�'Jt�� 4—�, a'� �,�L:� <br /> � <br /> NOTE: GASLINE FOR COOKTOP AND MOVE DRYER-ALSO OUTDOOR GRILL <br /> APPLICANT <br /> MECHANICAL(<$500) 15.00 <br /> ABOVE& BEYOND PLUMBING INC <br /> 6431 153RD LANE NW STATE SURCHARGE MECH (<$500) 0.50 <br /> RAMSEY, MN 55303- TOTAL 15.50 <br /> (763)360-6568 <br /> Minnesota State License#: 70645526 <br /> OWNER <br /> KOCH, MARK&NANCY <br /> 4149 HIGHWOOD RD <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which this permit is issued shall be perfonned 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 additio��al or related work which requires separate <br /> permits. All provisions of laws and ordinances eoverninc tliis type of work <br /> shall be compied with whedier 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]80 da_ys at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State Quilding Code.This pennit may bc <br /> �revoked� any time for due cause. <br /> --___.._ / / `� <br /> Applicant Pennitee Signature Date � v � � �� <br /> Iss B��Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />