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1 <br /> � CITY OF ORONO * Z 0 1 6 - 0 0 1 0 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDItESS : 4645 ST.ANDREWS ST <br /> PIN : 06-117-23-31-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 14 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 10,044.00 <br /> NOTE: 3 NEW HEAT&GLO GAS FIREPLACES <br /> t`. <br /> ��---� <br /> APPLICANT MECHANICAL 125.55 <br /> STATE SURCHARGE MECH(VALUATION) 5.02 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 132.57 <br /> (952)495-2927 Payment(s) <br /> CHECK 22460 132.57 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. Ail 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 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.G� <br /> i � �� � r� � z , �z � ► �; <br /> Applicant Permitee Signatu Date Issued By Signature Date <br />