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� CITY OF ORONO * z 0 1 z - 0 1 1 2 � * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 DEER RUN TR E <br /> PIN : 04-117-23-13-OO14 <br /> LEGAL DESC : CRYSTAL BAY PRESERVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYYE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: GAS L[NE FOR S�I�AND 13Y GI�,NI;RA"I'OR <br /> APPLICANT MECHANICAL 50.00 <br /> MECHANICAL AIR SYSTEMS STATE SURCHARGE MECH (VALUATION) 0.25 <br /> 1473 91ST AVE.NE <br /> BLAINE, MN 55449- MISC FEE 0.00 <br /> TOTAL 50.25 <br /> PA[D WITH CASH 50.25 <br /> OWNER <br /> STAHL, PETER <br /> 2755 DEER RUN TR E <br /> LONC LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATF,MENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for oniy the work described and does <br /> not grant permission for additional or related werk which r��quires separate <br /> permits. All provisions of laws and ordinar::es goveming this type of work <br /> shall be compied with whether or not speci?icd herein.'fhis 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 time attcr work has commenced. <br /> 'Che applicant is re onsible for asSuri� all required inspections are <br /> requested in ormance with the.' ate I3uilding Code.This permit may be <br /> revoked any time for due causc:' <br /> /�j ✓ ! � <br /> /. �� "''' 'a�/�—�—' /` / �i � l <br /> ' Ap icant ermi .ignature Date Issued 13y Sig a re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />