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CITY OF ORONO PERMIT NO.: 2009-00569 <br /> 2750 KELLEY PARKWAY <br /> j ORONO,MN 55356- DATE ISSUED: 09/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2460 THOROUGHBRED LA <br /> PIN 04-117-23-11-0014 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION $ 600.00 <br /> NOTE: RUN GAS LINE FOR OUTDOOR GRILL <br /> APPLICANT MECHANICAL 50.00 <br /> LAKESIDE PLUMBING <br /> 12469 ZINRAN AVE. STATE SURCHARGE MECH(VALUATION) 0.50 <br /> SAVAGE,MN 55378 MAIL-IN FEE 2.00 <br /> (952)894-7600 MISC FEE 0.00 <br /> TOTAL 52.50 <br /> OWNER <br /> SHAH&NIMA DESAI,BUGAR <br /> 2460 THOROUGHBRED LA <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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause_ <br /> Applicant Permitee Signature Date Issued By#nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />