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J <br /> CITY OF ORONO * 2 0 1 4 - 0 0 5 9 7 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 35 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0010 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,400.00 <br /> NO`I'E: 1 CARRIGR NAT GAS EURNACL;S <br /> l CARRII:R 2.5"1'ON AC <br /> APPLICANT MECHANICAL 80.00 <br /> STATE SURCHARGE MECH (VALUATION) 3.20 <br /> CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B TOTAL 85.20 <br /> COON RAPIDS, MN 55433 Payment(s) <br /> (763)757-6202 CHECK 18509 85.20 <br /> OWNER <br /> ANDERSON, M & K <br /> 35 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORIV 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 E3uilding Code. This pem�it 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 Uiis rype 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 oY 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.'l�his permit may be <br /> revoked at anv timc for due cayse. <br /> / / <br /> Applicant Permitee Signature Date Issued B S' nature Datc <br />