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CITY OF ORONO PERMIT IVO.: 2011-00152 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: 03/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1425 BAY RIDGE RD <br /> PlN : 10-117-23-34-OO17 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: INS'I'ALL GASLINL I�OR DRYGR-WORK DONF I�Y CONTRAC"[OR. CONTRACTOR DID NO'1'"I'AKE OU"f A PERMIT I�OR"[I�E <br /> WORK. <br /> APNLICANT MECHANICAL(<$500) 15.00 <br /> W[ENS, ROBERT&JULIE STATE SURCHARGE MECH (<$500) 5.00 <br /> 1425 BAY RIDGE RD TOTAL 20.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> WIENS, ROBERT&JULIE <br /> 1425 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Chc���ork for�vhich this permit is issued shall bc performed accordine to <br /> � the approved plans and s�ecificatiuns.applicable Ci�y approvals,and the <br /> State Buildinb Code. "I'his permit is for only�the�vork dcscribed and does <br /> not grant permission for additional or related work���hich requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speci�ied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 dic State Building Code.This permit may bc <br /> rcvoked at any time for due cause. <br /> 1����N�� �/ �1 / �( � l � � // <br /> Appl � nt Permitcc Signature Date Iss � By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />