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CITY OF ORONO PERMIT NO.: 2011-01239 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 10/13/2011 <br /> • 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1342 REST PO[NT CIR <br /> PIN : 07-117-23-31-0022 <br /> LEGAL DESC : REST POINT PARK LAKE MTKA <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 484.00 <br /> NOTE: GAS LINE TO OUTSIDE DWELL[NG <br /> APPLICANT MECHANICAL 50.00 <br /> ALTENHOFEN, MARK& DEANNE STATE SURCHARGE MECH (VALUATION) 0.24 <br /> 1342 REST PO[NT C[R <br /> MOUND, MN 55364- TOTAL 50.24 <br /> PAID WITH CASH -4,973.76 <br /> PAID WITH CC# 9395 <br /> OWNER <br /> ALTENHOFEN, MARK& DEANNE <br /> 1342 REST POINT CIR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'I'his permi[is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her or not specified herein.This 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 /> suspended or iod of 180 days at any time after work has commenced. <br /> The a ican s re o ible for assuring all required inspections are <br /> �requ ted i nfo c with the State Building Code.This permit may be <br /> re e a ti f e cause. <br /> j1� � �� � II � � � ���.._ �� -�/ <br /> � c`�YY� c c a� i i <br /> p l' nt Pe itee Si Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />