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1 <br /> . . CITY OF ORONO * Z 0 1 3 — 0 fd 5 4 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3340 GRAHAM HILL RD <br /> PIN : OS-ll 7-23-1 l-0012 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 4 BLOCK 2 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 550.00 <br /> NO"1'E: GAS LINE FOR POOL k��EATER <br /> APPLICANT MECHANICAL 50.00 <br /> HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH (VALUATION) 0.28 <br /> 8197 HORIZON DR <br /> SHAKOPEE, MN 55379 TOTAL 50.28 <br /> (612)508-9226 <br /> OWNER <br /> MCCARTY, LEROY& LISA <br /> 3340 GRAHAM HILL ROAD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perf�ormed accordine to <br /> the approved 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 pemiission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governin�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 l�{1� s of the date of issuance,or iSconstruction is <br /> suspended for a peri o 180 days at any time after work has commenced. <br /> The applicant is�r� o ible for assuring atl required inspections are <br /> requested in c�inf. � npe�witfi�the State Building Code.This permit may be <br /> revoked at aSiv or duc cause. <br /> .` -�� � / / <br /> Applicant Pe tee Signature Date Issue By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />