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CITY OF ORONO PERMIT NO.: 2011-00023 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 01/10/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2601 WEST LAFAYETTE RD <br /> PIN : 21-117-23-21-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0131 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,000.00 <br /> NOTE: GASLINE FROM METER TO GENERATOR BEHIND EXISTING GARAGE. <br /> APPLICANT MECHANICAL 50.00 <br /> CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 1880 WAYZATA BLVD W <br /> P.O. BOX 150 TOTAL 55.00 <br /> LONG LAKE,MN 55356 <br /> (952)473-8793 <br /> OWNER <br /> BARBARA J BOWERS, DOUGLAS J OLSON & <br /> 2601 WEST LAFAYETTE RD <br /> EXCELSIOR, MN 55331- <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 /> requesteorrfarmance with the State Building Code.This permit may be <br /> revoke t any time fo`e cause. <br /> a_i/L_ <br /> Applicant Permitee Signer Date <br /> Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />