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' ! CITY OF ORONO * 2 0 1 3 - 0 1 1 2 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 627 FERNDALE RD N <br /> PIN : 36-118-23-I1-0029 <br /> LEGAL DESC : LAURENT ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPF : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: GAS LINE TO GENERATOR <br /> APPLICANT MECHANICAL 50.00 <br /> PRECISION HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 3650 CHESTNUT ST. N <br /> CHASKA, MN 55318 MAIL-IN FEE 1.78 <br /> (952)556-0187 TOTAL 52.03 <br /> OWNER <br /> JOHNSON, BONNIE <br /> 627 FERNDALE RD N <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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or relatcd work which requires separate <br /> permits. All provisions of laws and ordinances governing this type oY work <br /> shall be compied with whether or not specified herein.'1'his 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 /> suspcnded for a period of 180 days at any time alter 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 duea:ause. <br /> `'.�,�,��-t�e (�� / / / / <br /> Applicant Permitee Signature Date [ssued By Sign ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. <br />