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CITY OF ORONO * 2 0 1 3 - 0 0 9 5 5 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 815 PARTENWOOD RD <br /> PIN : OS-117-23-43-0003 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: GAS LINE FROM MECHANICAL ROOM TO COOK TOP IN KITCHEN <br /> � <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> DITTER INC. STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 820 TOWER DRIVE <br /> MEDINA,MN 55340 TOTAL 50.25 <br /> (763)478-9558 PAID WITH CASH 14.75 <br /> OWNER <br /> FOX,PETER&SUSAN <br /> 815 PARTENWOOD RD <br /> LONG LAKE, MN 55356- <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,applicabie 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 /> �v , 13 , ,-� , , <br /> Applica t Permitee Signature Date <br /> Issued y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />