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CITY OF ORONO * 2014 - 00069 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OV2212014 <br /> ! ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 315 TONKAWA RD <br /> PIN 06-117-23-14-0021 <br /> LEGAL DESC REG. LAND SURVEY NO. 0540 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 1,240.00 <br /> NOTE: GAS LOG SET-REPLACE EXISTING <br /> APPLICANT MECHANICAL 50.00 <br /> WOODLAND STOVES&FIREPLACES <br /> STATE SURCHARGE MECH(VALUATION) 0.62 <br /> MAIL-IN FEE 2.00 <br /> 2901 E. FRANKLIN AVE. TOTAL 52.62 <br /> MINNEAPOLIS, MN 55403- <br /> (612)338-6606 Payment(s) <br /> CHECK 43004 52.62 <br /> OWNER <br /> Waycrosse, Inc. <br /> MACMILLAN, MARTHA E <br /> 15407 MCGINTRY RD W <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 /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issue B ignature Date <br />