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� 1 <br /> CITY OF ORONO * z 0 1 3 - P1 1 0 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2102 SUGARWOOD DR <br /> PIN : 34-118-23-21-0021 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: GASLINE TO POOI HEATER-336,000 BTU <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 685 141ST LANE NW <br /> ANDOVER,MN 55304 TOTAL 50.25 <br /> (763)754-7119 <br /> OWNER <br /> JASPER,THOMAS F&JENNIFER J <br /> 2102 SUGARWOOD DR <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 /> 5tate 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 /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in co o ce with the Sta ilding Code.This permit may be <br /> revoked at im or aus . <br /> e ��-�';�� �� � /3 <br /> Ap icant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />