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� ' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 4 6 4 * <br /> DATE ISSUED: OS/OS/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1280 SPRUCE PL <br /> PIN : 08-117-23-32-0027 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK O10 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ADDITIONAL:GAS FIREPLACE(HEAT&GLO) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 TOTAL 53.50 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#:mech-MB005786 CHECK 24911 53.50 <br /> OWNER <br /> RYAN,JOHN <br /> 1280 SPRUCE PL <br /> MOLJND,MN 55364- <br /> AGREEME1vT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 /> pertnits. 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 l80 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 n- _ <br /> revoked at any time for due cause. �rv J <br /> � <br /> ( � ��_l� �V `� / � /� I <br /> Applicant Permitee Signature Date Issued By Si ture Date <br />