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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim <br /> CITY OF ORONO * 2 0 1 4 - 0 1 2 8 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/31/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1485 FOX ST <br /> PIN 02-117-23-33-0001 <br /> LEGAL DESC UNPLATTED 02 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(> $500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION S 1.600.00 <br /> NOTE: GASI.INE TO GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.80 <br /> PRACTICAL SYSTEMS <br /> 4342B SHADY OAK RD MAIL-IN FEE 2.00 <br /> HOPKINS, MN 55343 TOTAL 52.80 <br /> (952)933-1868 Payment(s) <br /> CREDIT CARD 5815 52.80 <br /> OWNER <br /> HENNEMAN, W P& A B <br /> 1485 FOX ST <br /> WAYZATA. MN 55391- <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 olwork <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 Ibr 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 conlbrmancc with the State Building Code_This permit may be <br /> revoked at any time Ibr due cause. <br /> ogd"LA) l b 0 / <br /> Applicant Pernnitee Signature Date I _Issuo By Signature Date <br />