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CITY OF ORONO <br /> * 2012 - 00664 * � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 TONKAWA RD <br /> PIN : 08-117-23-13-0006 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.217 <br /> LOT 009 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> NOTE: RUN A GASLINE FOR OUTDOOR GRILL AND GENERATOR <br /> APPLICANT <br /> MECHANICAL(<$500) 15.00 <br /> BOE PLUMBING <br /> 15481 KIOWA ST. STATE SURCHARGE MECH(<$500) 5.00 <br /> ANDOVER,MN 55304 TOTAL 20.00 <br /> (763)757-1991 <br /> Minnesota State License#:MB3984 <br /> OWNER <br /> J D BYRD,DAVID TEMPLEMAN& <br /> 1180 TONKAWA 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 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 <br /> X;Zause. <br /> Applidafit Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />