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CITY OF ORONO * 2 0 1 5 - 0 0 S 9 S * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 05/14/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 763 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0091 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,200.00 <br /> NOTE: GAS LINES FOR:2 FIREPLACES, 1 RANGE& 1 DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.60 <br /> SCHULTIES PLUMBING TOTAL 50.60 <br /> 1521 94TH LANE NE Payment(s) <br /> BLAINE,MN 55449 CHECK 33285 50.60 <br /> (651)786-4007 <br /> Minnesota State License#: plbg-058799PM,mech-MB005379 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DRIVE <br /> MINNETONKA,MN 55343- <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 aze <br /> requested in conformance with the 5tate Building Code.This permit may be <br /> revoked at any time for due cause. ,�/� <br /> �/N� <br /> ;d�� S -�y- �s" U�yn-�.�� � l ! l C <br /> Applicant ermitee Signature Date Issued By Signature Date <br />