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CITY OF ORONO PERMIT NO.: 2010-00545 <br /> 2750 KELLEY PARKWAY <br /> , �' ORONO, MN 55356- DATE IssuEn: 07/OU2010 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2600 PHEASANT RD <br /> PIN : 21-117-23-23-0023 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 470.00 <br /> NOTE: GAS LINE FOR OUTDOOR GRILL AND COOK TOP <br /> APPLICANT MECHANICAL 50.00 <br /> SPRING PLUMBING LLC STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- MAIL-IN FEE 2.00 <br /> (763)6147963 TOTAL 57.00 <br /> Minnesota State License#:066807 PM PAID WITH CC# 4012 <br /> OWNER <br /> HADDEN,TIMOTHY&JULIANN <br /> 2600 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 sepazate <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 will <br /> expire and become null and void if construction authorized is not <br /> comenenced 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 ca�se. <br /> G�C�ec� � l l ��7Y�1��( i l <br /> Applicant rmitee Signature Date Issued ignature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />