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, . <br /> CITYOFORONO * z0 13 - 00689 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 139 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0025 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 600.00 <br /> NO"TE: GASI.INE FOR OUTDOOR GRll.L AND KI"I�CHF,N RANGE AND F[RF.PI,ACF, <br /> APPLICANT MECHANICAL 50.00 <br /> TRADESMAN INC STATE SURCHARGE MECH (VALUATION) 0.30 <br /> 2942 XERXES AVE N <br /> MINNEAPOLIS, MN 5541 1- TOTAL 50.30 <br /> (612) 581-4472 <br /> OWNER <br /> BELTRAND, BYAN & WENDY <br /> 139 CHEVY CHASE DR <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 Ihis type of work <br /> shall be compied with whether or not specitied herein.This permi[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 ime after work has commenced. <br /> The ap lic is responsible f ssurin I required in ections are <br /> qu ed onfo nce th e e uildi�'Co .This permit may be <br /> , <br /> o d any ti br e c us <br /> • �i ��� f3 � � lc�� � <br /> A lic3nt Permitee Signa[ure Date Issue By Si�nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />