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� , CITY OF ORONO PERMIT NO.: 2008-00394 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1sSUEn: 1U24/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 795 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0020 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GAS LINE TO GAS GRILL <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> FLARE HEATING&AIR COND STATE SURCHARGE MECH(<$500) 0.50 <br /> 9303 PLYMOUTH AVE N-#104 <br /> GOLDEN VALLEY, MN 55427 TOTAL 15.50 <br /> (763)542-1166 <br /> OWNER <br /> O.T. Development, LLC <br /> LLC, O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO, MN 55356- <br /> AGREEMENT A1vD 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. Aii 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 cons[ruction 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 for due cause. <br /> \`�/y(,d�t� �J l l l l <br /> Applicant Permitee Signature Date Issued By Sig ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. <br />