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� ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 QJ 1 8 - 0 0 1 4 4 * <br /> DATE ISSUED: 02/12/2018 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)GAS TO WN AND�OUNTRY 42 <br /> (1)GAS MONTIGO H'SERIES <br /> (1)WOOD ORACLE 42" <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.00 <br /> TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 <br /> 6521 CECILIA CIR <br /> EDINA,MN 55439- TOTAL 80.00 <br /> (952)777-4125 Payment(s) <br /> Minnesota State License#:mech-MB682977 CHECK 22893 80.00 <br /> OWNER <br /> WOHLWEND,DAVID <br /> 4526 BLUEBELL TRAIL S <br /> MEDINA,MN 55340- <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 Buiiding 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 goveming this type of work <br /> shall be compied with whe�t►er or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 da s of the date of issuance,or if construction is <br /> suspended for a period of I 0 days at any time after work has commenced. <br /> The applicant is responsibl for assuring all required inspections are <br /> requested in conformance ith the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> t7°lC�{�� .�/L � � IoZ � �� <br /> Applicant Permitee Sign�ture Date Issue By Signature Date <br />