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, ' CITY OF ORONO PERMIT NO.: 2010-00186 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4245 CHIPPEWA LA <br /> PIN : 31-118-23-42-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: TEMPORARY TRENCH FOR GEO-THERMAL HEATING <br /> APPLICANT LAND ALTERATION 50.00 <br /> SOUTH METRO PLUMBING& HEATING INC. <br /> 612 N BROADWAY TOTAL 50.00 <br /> JORDAN, MN 55352 PAID W[TH CASH 50.00 <br /> �) <br /> Minnesota State License#: 65625 <br /> OWNER <br /> ADAMS,JOHN&CLEA <br /> 4245 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <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 additiona]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 wi[hin 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 for due cause. <br /> - l /�lo2.D/� <br /> / / <br /> AP��� , 4 r.y1- Ye Issue By gnature <br /> EPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRBED ABOV <br />