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CITY OF ORONO * z 0 1 7 - 0 0 1 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> r <br /> ADDRESS : 325 FERNDALE RD N <br /> PIN : 36-118-23-41-0029 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 024 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS L[NE ONLY <br /> VALUATION : $ 350.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITG AT FINAL INSPECTION. <br /> REPLACE GAS L[NE ON RANGE& DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.18 <br /> TSCHIDA BROS PLUMBING TOTAL 50.18 <br /> 1036 FRONT AVE <br /> ST. PAUL, MN 55103- Payment(s) <br /> (651)488-2596 CHECK 9127 50.18 <br /> Minnesota State License#:plbg-PC705705,mech-MB005810 <br /> OWNER <br /> MS RELOCATION SERVICES <br /> 2108 43RD ST E <br /> MINNEAPOLIS, MN 55407- <br /> AGREEMENT AND SWORN STATEMENT <br /> fhc work for�vhich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding 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 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 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 /> � � � <br /> ` � �, � `—;C ;,��;� �' .� l_c �l� �-' `7 � -- <br /> � � h- 4 / 7 � <br /> Applic t mitee Signature Date [ssued By Signat e Date <br />