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CITYOFORONO * z016 - 0024PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 BRIAR ST <br /> PIN : 10-117-23-31-0053 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 370.00 <br /> NOTE: GASLINE FOR RANGE AND GASLINE FOR DRYER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.19 <br /> AIR MECHANICAL, INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE, MN 55304 TOTAL 52.19 <br /> (763)434-7747 Payment(s) <br /> Minnesota State License#: mech-MB005122 CHECK 047341 52.19 <br /> OWNER <br /> ZITZLOFF,JEFFREY&BRENDA <br /> 1380 BRIAR ST <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 l80 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 permit may be � <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />