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CITY OF ORONO * 2 0 1 2 - 0 0 8 1 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 505 WILLOW DR S <br /> PIN 04-117-23-41-0012 <br /> LEGAL DESC MAJESTIC SPRUCE ADDITION <br /> LOT 2 BLOCK I <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GAS LINE ONLY <br /> VALUATION $ 500.00 <br /> NOTE: GAS LINE FOR FUTURE GENERATOR <br /> APPLICANT MECHANICAL 62.50 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 0.25 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 MISC FEE 0.00 <br /> TOTAL 64.75 <br /> OWNER <br /> MOORHOUSE&SHAYNE ERNZER,MARK <br /> 505 WILLOW DR S <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 Permat <br /> itee Signure Date Issued By Watre ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AIWVE. <br />