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CITY OF ORONO * 2 0 1 4 - 0 0 7 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/11/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 945 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0009 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,650.00 <br /> NOTE: GAS LINE FOR POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.83 <br /> METRO GAS INSTALLERS TOTAL 50.83 <br /> 685 141ST LANE NW <br /> Payment(s) <br /> ANDOVER, MN 55304 <br /> (763)754-7119 CHECK 14801 50.83 <br /> Minnesota State License#: meth-MB003162 <br /> OWNER <br /> HUBBARD,TIMOTHY&AMY <br /> 945 WILLOW VIEW 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 /> 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 at any time r due cause. <br /> 7--ii./V <br /> 142 <br /> Appli ant Permitee ignature Date Issued Byc gnature Date <br />