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CITY OF ORONO * 2 0 1 7 — 0 0 6 7 4 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2017 <br /> ' ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-11'7-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS LINE ONLY OUTDOOR GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.25 <br /> NYBO-PETERSON CO.INC. TOTAL 50.25 <br /> 6606 280TH. STREET Payment(s) <br /> MN 55088- <br /> (952)461-2749 CREDIT CARD 8865 50.25 <br /> Minnesota State License#:BUIL-058650,cont-MN058650 <br /> OWNER <br /> GRAY,JERRY&CYNTHIA <br /> 880 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,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming 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 conswction authorized is not <br /> wmmenced 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 confo with the State ildi Code.This permit may be <br /> revoked at any ' e fdr due cause. <br /> ��/ V � � <br /> Ap ic Perrnitee Signature Date Issue By gnature Date <br />