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CITY OF ORONOI I �' III I <br /> 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 1 5 5 <br /> DATE ISSUED: 02/29/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 550 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0018 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 12,782.00 <br /> NOTE: GAS LINE-GAS PIPE TO 13-RTO AND 2 OVERHEADS <br /> APPLICANT MECHANICAL 159.79 <br /> GR MECHANICAL PLUMB&HEAT STATE SURCHARGE MECH(VALUATION) 6.39 <br /> 12401 IRONWOOD CIRCLE-SUITE 5 <br /> ROGERS,MN 55374 MAIL-IN FEE 2.00 <br /> () TOTAL 168.18 <br /> Minnesota State License#:061337PM <br /> OWNER <br /> Ryan Companies Us, Inc. <br /> 50 10TH STS-UNIT#300 <br /> MINNEAPOLIS,MN 55403- <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 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 /> &IVA— 2/ <br /> Applicant Permitee Signature Date Issued : ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />