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CITY OF ORONO 11 1 1 IIII III III II I III III II II <br /> * 2 0 1 5 — 0 0 2 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1125 PINE VIEW DR <br /> PIN : 28-118-23-42-0007 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE ' : FIREPLACE-GAS <br /> • <br /> VALUATION : $ 4,175.00 <br /> NOTE: 1 GAS FIREPLACE <br /> APPLICANT MECHANICAL 52.19 <br /> STATE SURCHARGE MECH(VALUATION) 2.09 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 56.28 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 56.28 <br /> OWNER <br /> NYQUIST,MATTHEW&JENNIFER <br /> 6126 MAIN STREET W <br /> MAPLE PLAIN,MN 55359- <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 Issued By dignature Date <br />