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. CITY OF ORONO * 2 B 1 6 — 0 1 4 5 B * <br /> '� 2750 KELLEY PARKWAY DATE ISSUED: 1]/2U2016 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2340 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0062 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> ACTIVITY : O/S GENERAL <br /> VALUATION : $ 500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS LINE TO FIRE TABLE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.25 <br /> SUNDOWN HEATING&A/C TOTAL 50.25 <br /> 26187 BUSCH DR Payment(s) <br /> BELLE PLAIN,MN 56011- CREDIT CARD 6567 50.25 <br /> (952)412-1446 <br /> Minnesota State License#:HVAGMb005163 <br /> OWNER <br /> VIERTHALER,ADAM&LEAH <br /> 2340 GLENDALE COVE LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 180 days of the date of 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.This permit may be <br /> revoked at any time for due cause. <br /> i � I � Zt � . �� � ,�So <br /> Applicant P rtee Signature Date Issue B gnature Date <br />