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" CITY OF ORONO * 2 0 1 7 - 0 1 6 1 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/08/2017 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3745 TOGO RD <br /> PIN : 17-117-23-31-0046 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> LOT 009 BLOCK 010 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 7,391.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> INSTALL GAS FIREPLACE AND 2 GASLINES <br /> APPLICANT MECHANICAL 92.39 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.70 <br /> 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 55113 TOTAL 98.09 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 98.09 <br /> OWNER <br /> SCHATZ,DEBORAH L <br /> 3745 TOGO RD <br /> WAYZATA,MN 55391- <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. 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 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 /> rev d at any time for due cause. <br /> xalid') <br /> A lic t errnitee Sigfiature Dath Iss&eftT3y ature Date <br />