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CITY OF ORONO I I ,L I 11 1 I',I <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 3 4 9 <br /> DATE ISSUED: 03/26/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 765 BOULDER DR <br /> PIN : 33-118-23-11-0134 <br /> LEGAL DESC : STONEBAY <br /> : LOT 1&2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> VALUATION : $ 1,200.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 5 GAS LINES: 1 OUTDOOR GRILL, 1 RANGE, 1 DRYER,2 FIREPLACES <br /> APPLICANT MECHANICAL 50.00 <br /> SCHULTIES PLUMBING STATE SURCHARGE MECH(VALUATION) 0.60 <br /> 1521 94TH LANE NE TOTAL 50.60 <br /> BLAINE,MN 55449 Payment(s) <br /> (651)786-4007 CHECK 34183 50.60 <br /> Minnesota State License#:plbg-PC644177,mech-MB005379 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE,MN 55304- <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 Building Code.This permit may be <br /> revokedat any time for du cause. <br /> lAy . ,cam 14V-eel I I 7 <br /> Applic t Penn ee Si ature Date Iss fd By Signature Date <br />