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CITY OF ORONO 111111111111111111111 1111111V I I I II <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 6 1 3 <br /> DATE ISSUED: 05/31/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2655 WEST LAFAYETTE RD <br /> PIN : 21-117-23-24-0039 <br /> LEGAL DESC : REG. LAND SURVEY NO.0846 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,450.00 <br /> NOTE: GASLINE TO GRILL AND OUTDOOR FIREPIT <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.73 <br /> METRO GAS INSTALLERS <br /> 685 141ST LANE NW TOTAL 50.73 <br /> ANDOVER,MN 55304 Payment(s) <br /> (763)754-7119 CHECK 16043 50.73 <br /> Minnesota State License#:mech-MB003162 <br /> OWNER <br /> KRIER,ANTHONY&ROBIN <br /> 2655 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 /> requested in conformanc with the State Building Code.This permit may be <br /> revoked at any time for ue cause. <br /> P?/10 <br /> tee`Si�ture DateApp/1. gn Issued By ign� Date <br />