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, CITY OF ORONO PERMIT NO.: 20��-oog2s <br /> C 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 08/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 485 STUBBS BAY RD N <br /> PIN : 32-118-23-24-0003 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 2,500.00 <br /> NOTE: GAS LINE-COVERT PROPANE TO NATURAL GAS <br /> APPLICANT MECHANICAL 50.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 5.75 <br /> COON RAPIDS,MN 55433 MISC FEE 0.00 <br /> (763)757-6202 TOTAL 57.00 <br /> OWNER <br /> WILL,JOHN&JOCLYN <br /> 485 STUBBS BAY RD N <br /> LONG LAKE,MN 55356- <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 dces <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 time for due cause. <br /> ��'l�t�'.(.� �_ l l � � <br /> Applicant Permitee Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE A VE. <br />