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' ' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 1 3 6 * <br /> DATE ISSUED: 02/08/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2090 SHORELINE DR <br /> PIN : 15-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 15 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 1 GEORGIAN 36°WOOD FIREPLACE <br /> 1 TOWN&COUNTRY FAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.75 <br /> TWIN CITY FIREPLACE STONE CO INC TOTAL 51.75 <br /> 6521 CECILIA CIR <br /> EDINA,MN 55439- Payment(s) <br /> (952)777-4125 c�DiT cax� ss2o si.�s <br /> Minnesota State License#:mech-MB682977 <br /> OWNER <br /> HEAD,MARTHA <br /> 1616 W.22ND STREET <br /> MINNEAPOLIS,MN 55405- <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> I�-� `� � � S � 1 <br /> Applicant Permitee ignatu e Date Issued By Signa Date <br />