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R *' CITY OF ORONO PERMIT NO.: 2011-00759 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- �ATE ISSUEn: 08/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY <br /> PIN : 33-118-23-12-9999 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS L[NE ONLY <br /> VALUATION : $ 700.00 <br /> NOTE: GAS LINE FOR OUTDOOR GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE MECH(VALUATION) 0.35 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 50.35 <br /> LORETTO, MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> Minnesota State License#: 065381 PM <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 W 36TH ST <br /> ST. LOUIS PARK,MN 55416- <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 wili <br /> expire and become null and vo nstruction authorized is not <br /> commenced wit 180 of the date of issuance,or if construction is <br /> suspended fo er' 0 80 days at any time after work has commenced. <br /> The applic is spo i le for assuring all required inspections are <br /> requeste ' c for ne with the State Building e.This permit may be � <br /> revok a ti or d e cause. � <br /> �/ / � / � � L� tc c� L2�� �� � <br /> � � �` ` <br /> Ap ican ermite ' nature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />