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CITY OF ORONO * z 0 1 4 - 0 1 3 4 6 * <br /> � � �� 2750 KELLEY PARKWAY pATE �SSUED: 11/19/2014 <br /> ORONO, MN 55356- <br /> • (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3227 CO CIR��,>� �Q.a,�-�C� �� �,L;Y� ��C�C'�I��-'`�3 - <br /> PIN : 20-117-23-43-0056 -�"-�, �� -��, �������L �jY'�,� �� <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ I,500.00 <br /> NOTG: GnS LIN[:�OR O[��T�DOOR GRILL& RnNGE. FIR(-:PI.ACE: & GARAG[� I�IEA��f�:K <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.75 <br /> VAN WINKLE PLUMBING TOTAL SOJS <br /> 5430 TEAL ST Payment(s) <br /> BIG LAKE, MN 55309- <br /> (612)599-2124 CHECK 1751 50.75 <br /> Minnesota State License#: plbg-005756 <br /> OWNER <br /> O'ROURKE,JAMES <br /> 1 181 VAGABOND CT N <br /> PLYMOUTH, MN 55447- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and Uie <br /> State E3uilding Code. This pernii[is for onlv the work described and docs <br /> not��rant permission for additional or related work which requires separate <br /> pennits. All provisions of la�vs and ordinances goveming this type ol work <br /> shall be compied with whether or not specitied herein �1'his pennit�a�ill <br /> c�pire and hecome null and void if construction nuthurized is not <br /> commenced�cithin 180 davs of the date of issuance,or if construction is <br /> suspended for a period of 180 davs at an��time after work hati commenced. <br /> The applicant is responsihle t�ir assurins all rcquired inspections are <br /> requested in contbnnance with the State Buildina Code.This permit mac be <br /> revoked at anc time tbr due cause. � <br /> �/� � � � r � � <br /> � �/ r , , <br /> Applicant Permitee Signature Date I,sucd li��Signature I�ate <br />