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" CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 7 - 0 0 7 2 6 <br /> DATE ISSUED: 06/28/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2535 OLD BEACH RD <br /> PIN 21-117-23-22-0019 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 2,750.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE FOR POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 1.38 <br /> 685 141ST LANE NW TOTAL 51.38 <br /> ANDOVER,MN 55304 Payment(s) <br /> (763)754-7119 CHECK 16738 51.38 <br /> Minnesota State License#:mech-MB003162 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 OLD BEACH 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 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 constriction 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 'th the State Buildi g Code.This permit may be <br /> revoked at any time r cause. <br /> e� 47 <br /> Appli ant Permitee Signature Date Iss By S' ature Date <br />