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� CITY OF ORONO * Z 0 1 3 - 0 0 3 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRIN"I�F,D ON 5/9/2013 <br /> ADDRESS : 1 10 CHEVY CHASE DR <br /> PIN ^ ` : 36-118-23-41-0046 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 012 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : M�C�ANICAL-MULTIPLE <br /> � <br /> VALUATION : $ 2,915.00�! <br /> NOTE: 1 KITCHEN EXHAiJST <br /> GAS LINE TO RANGE AND FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> GENZ-RYAN PLUMBING & IIEA"I' STATE SURCHARGE MECH (VALUATION) 1.46 <br /> 2200 H[GHWAY 13 <br /> BURNSVILLE, MN 55337 MAIL-W FEE 2.00 <br /> (952)767-1000 TOTAL 53.46 <br /> OWNER <br /> HIGGINS, KENNETH&LAURA <br /> 110 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for which this permit is issued shall be performed according to <br /> the approvcd 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 specitied 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pennit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By �gna e Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED A OV . <br />