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CITY OF ORONO * I' 117��' �' ( � 3III I7 11 <br /> 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 515 NORTH ARM DR <br /> PIN : 06-117-23-31-0015 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 22 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GASLINE FOR POOL HEATER <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.25 <br /> Source Land Development Inc. TOTAL 50.25 <br /> NORTON,CHRIS <br /> 18215 45TH AVE N Payment(s) <br /> STE D CREDIT CARD 2873 50.25 <br /> PLYMOUTH,MN 55446- <br /> (763)551-0100 <br /> OWNER <br /> Source Land Development Inc. <br /> NORTON,CHRIS <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 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 Bgilding Code.This permit may be <br /> revoked at any do du cause. <br /> :/rio <br /> C 41 /.0 43 /1/ <br /> Appl4ant Permitee Signature Date Issue yeignature Date <br />