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� � � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 7 - PJ 1 2 1 2 * <br /> DATE ISSUED: 09/28/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 723 STONEBAY DR <br /> PIN : 33-118-23-11-0068 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATIOPI : $ 1,200.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE FOR RANGE,DRYER,AND 2 FIREPLACES <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.60 <br /> SCHULTIES PLUMBING MAIL-IN FEE 2.00 <br /> 1521 94TH LANE NE <br /> BLAINE, MN 55449 TOTAL 52.60 <br /> (651)786-4007 Payment(s) <br /> Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 34031 52.60 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DRIVE <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <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 governing 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> �L G� �' r , -� �i ��a-�; l <br /> Applicant Permite Signature Date Issu d By S gnature Date <br /> i <br />