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� CITY OF ORONO � <br /> * 2 0 1 3 - 0 0 7 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 0.00 <br /> NO�I�E: GnSLINF,TO GEM?RA"I'OR ONI.Y <br /> APPLICANT MECHAMCAL 50.00 <br /> TOP DOG <br /> P O BOX 366 STATE SURCHARGE MECH(VALUATION) 0.50 <br /> ELK RIVER, MN 55330- TOTAL 50.50 <br /> (612)578-2436 PAID WITH CC# 8313 <br /> OWNER <br /> WESTLING, THOMAS & LORI <br /> 2640 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he���urk for which this perniit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Cbde. 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 goveming this type orwork <br /> shall be compied with whether or not specified herein."I�his permit will <br /> expire and become null and void if construction authorired 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 /> I'he 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 y time due e. <br /> � �� �'�� (3 �7 �z� � /3 <br /> App cant Permitee Signature Date Issue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />