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' � ' CITY OF ORONO * 2 0 1 5 - 0 0 3 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2496 SANDSTONE LA <br /> PIN : 33-118-23-11-0023 <br /> LEGAL DESC : STONEBAY <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> .VALUATION : $ 5,465.00 <br /> NOTE: (2)GAS FIREPLACES <br /> HHT AND HEAT-N-GLO <br /> APPLICANT MECHANICAL 68.31 <br /> STATE SURCHARGE MECH(VALUATION) 2.73 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 73.04 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 73.04 <br /> OWNER <br /> Wooddale Builders Inc. <br /> 6117 BLUE CREEK DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> (//L���iZ� / �— / <br /> Applicant Permitee Signature Date Issue y Signature Dat <br />