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f CITY OF ORONO * 2 0 1 2 - B 0 z 1 9 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 5 BLOCK 2 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 425.00 <br /> NOTE: GAS LINE TO GENERA�'OR <br /> APPL[CANT MECHANICAL 50.00 <br /> HEAT[NG& COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 0.21 <br /> 18550 COUNTY ROAD 8] <br /> MAPLE GROVE, MN 55369- TOTAL 50.21 <br /> (763)428-3677 <br /> OWNER <br /> RUDOW, DAVID& LESLIE <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN 5535Er <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according 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 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 compicd with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> conunenced within I 80 days of the date of issuance,or if construcCion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> "i'he applicant is responsible for assuring all required inspections are <br /> requested in conforniance with the State Building Code.This permit may be <br /> revoked at any[ime for due use. <br /> ��� �lG�l / li — � l l <br /> Applic rmitee Signature Date [ssued By S' ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />