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CITY OF ORONO PERMIT NO.: 20��-oo�s2 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 03/30/2011 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1925 LAKEVIEW TER + <br /> PIN : 27-118-23-42-0014 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE '� : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GAS LINE FOR DRYER <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(<$500) 5.00 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS,MN 55433 MISC FEE 0.00 <br /> (763)757-6202 TOTAL 22.00 <br /> OWNER <br /> NETISHEN, STEVEN&KELLY <br /> 1925 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 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 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 a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> '•revoked at any time for due cause. <br /> "�/tit.A�.i,C 1n� l l l l <br /> Applicant Permitee Signature Date <br /> Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />