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CITY OF ORONO * 2 0 1 4 - 0 1 3 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2014 <br /> � ' ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2526 SANDSTONE LA <br /> PIN : 33-118-23-I1-0018 <br /> LEGAL DESC : STONEBAY <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS ' <br /> VALUATION : $ 4,760.00 <br /> NOTE: 1 GAS FIREPLACE HEAT-N-GLO <br /> APPLICANT MECHANICAL 59.50 <br /> STATE SURCHARGE MECH(VALUATION) 2.38 <br /> FtRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 63.88 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 63.88 <br /> OWNER <br /> Stonebrook Homes <br /> 1016 COVEWTRY PL <br /> EDINA,MN 55424- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicabte 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 sepazate <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> l�..,c. �.._.� � I [ � �� <br /> Applicant Perrnitee Signature Date Issued B Signature Date <br /> � <br />