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CITY OF ORONO PERMIT NO.: 2009-00587 <br /> ' 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 09/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 99 SIXTH AVE N <br /> PIN : 25-118-23-44-0012 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,800.00 <br /> NOTE: RECONNECT DRYER&KITCHEN HOOD. NEW GASLINE TO STOVE. MOVE(2)RETURN AIR. <br /> APPLICANT MECHANICAL 50.00 <br /> VOGT HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 0.90 <br /> 3260 GORHAM AVE <br /> ST.LOUIS PARK,MN 55426- MAIL-IN FEE 2.00 <br /> (952)929-6767 MISC FEE 0.00 <br /> TOTAL 52.90 <br /> OWNER <br /> BRISCOE,MR.&MRS. <br /> 99 SIXTH AVE 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 the <br /> State Building Code. 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 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 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 /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due c�use. <br /> `'����ci( Civl. l l C����A.�/ <br /> Applicant Permitee Signature Date ���� ��" � � <br /> Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />