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CITY OF ORONO I*(1 1 1 1 1 I I g I I1* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1186 WILDHURST TR <br /> PIN : 07-117-23-24-0007 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1116 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 550.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE FOR FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> ALL CITY PLUMBING STATE SURCHARGE MECH(VALUATION) 0.28 <br /> 8100 COUNTY ROAD 110 W TOTAL 50.28 <br /> MOUND,MN 55364- <br /> Payment(s) <br /> (612)817-6731 CREDIT CARD 5083 50.28 <br /> Minnesota State License#:plbg-PC643613 <br /> OWNER <br /> RASMUSSEN,BRIAN&SANDY <br /> 1186 WILDHURST TR <br /> MOUND,MN 55364- <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 /> 3—/ �,� / , _. / — 3 113 / 121 <br /> Applicant Permitee Signature Date Issue, :y Signature Date <br />