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r CITY OF ORONO <br /> * 2 1 4 - 0 0 5 0 <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: 06/09/22 014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS 1560 TANGLEWOOD RD <br /> PIN 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 3,900.00 <br /> NOTE: GAS LINE TO POOL HEATER AND FIRETABLE AND GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> METRO GAS INSTALLERS <br /> STATE SURCHARGE MECH(VALUATION) 1.95 <br /> TOTAL 51.95 <br /> 685 141ST LANE NW Payment(s) <br /> ANDOVER,MN 55304 <br /> (763)754-7119 CHECK 14727 51.95 <br /> Minnesota State License#:mech-MB003162 <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD RD <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 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 conforman with the State Bu' ing Code.This permit may be <br /> revoked at any ti a fo ue cause. J <br /> 411cant Petmitee Signature Date Issued By Si ature ate <br />