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, CITY OF ORONO * Z 0 1 5 - 0 1 3 6 � <br /> � 2750 KELLEY PARKWAY <br /> DATE ISSUED: 10/22/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3465 SHORELINE DR <br /> PIN : 20-117-23-12-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATIOI�T : $ 650.00 <br /> NOTE: GASLINE FOR OUTDOOR GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.33 <br /> HUBER PLUMBING CO LLC TOTAL 50.33 <br /> 2751 LAMPHERE DRIVE <br /> NEW HOPE,MN 55427-8 Payment(s) <br /> Minnesota State License#: PLUM-58913,mech-5901 CHECK 5363 50.33 <br /> OWNER <br /> Shoreline Center <br /> REALTY LLC,NAVARRE <br /> PO BOX 3 <br /> MINNETONKA BEACH, MN 55361- <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 pe�mission for additional or related work which requires sepazate <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 aze <br /> requested in confoimance with the State Building Code.This permit may be <br /> re ked at any ti for due ca se. <br /> �� �� � � a <br /> �� -zz � ; � ��� � �� ,a ,1 s <br /> A p icant P ite S g ure Date �Issu y Signature Date <br />