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CITY OF ORONO * 2017 - 01677 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/04/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1020 TONKAWA RD <br /> PIN : 08-117-23-13-0014 <br /> LEGAL DESC : REG.LAND SURVEY NO.0617 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 12,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)MAJESTIC ESCHELON I172"NAT.GAS 30,000 BTUS <br /> (1)MALOR ENGINE L2 NG NAT.GAS 36,000 BTUS <br /> (1)ORTAL CLEAR FRONT 200 NAT GAS 51,300 BTUS <br /> (2)ORACLE 42"WOOD BURNING W/GAS LOG SET 95,000 BTUS <br /> APPLICANT MECHANICAL 156.25 <br /> STATE SURCHARGE MECH(VALUATION) 6.25 <br /> TWIN CITY FIREPLACE STONE CO INC M <br /> 6521 CECILIA CIR AIL-IN FEE 2.00 <br /> EDINA,MN 55439- TOTAL 164.50 <br /> (952)777-4125 Payment(s) <br /> Minnesota State License#:mech-MB682977 CREDIT CARD 8820 164.50 <br /> OWNER <br /> BURKE,FORREST <br /> 380 LEAF ST <br /> LONG LAKE,MN 55356- <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 /> l lM&jtd- <br /> Applicant Pertnitee ignature Date Issued By Si ffure <br /> Date <br />