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111111111111111 <br /> CITY OF ORONO * 2 0 1 7 - PJ P 6 8® <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 2494616 <br /> ADDRESS 2420 WATERTOWN RD <br /> PIN 33-118-23-44-0029 <br /> LEGAL DESC DANIELS LONG LAKE HEIGHTS <br /> LOT 000 BLOCK 003 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION $ 800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE MAIN INTO MECH <br /> APPLICANT MECHANICAL 50.00 <br /> JD PLUMBING STATE SURCHARGE MECH(VALUATION) 0.40 <br /> 10168 BOONE CIRCLE TOTAL 50.40 <br /> BLOOMINGTON,MN 55438- Payment(s) <br /> (952)270-3062 CREDIT CARD 7012 50.40 <br /> Minnesota State License#:p1bg-PC665983,mech-MB665979 <br /> OWNER <br /> KENWORTHY,GEORGE&TERRI <br /> 2420 WATERTOWN 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 Ltimeduee.A is Date Issued 13� Signature Date <br />