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' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 0 1 5 4 6 <br /> — <br /> DATE ISSUED: 11/21/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 3745 WATERTOWN RD <br /> PIN : 32-118-23-34-0012 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-WOOD <br /> VALUATION $ 5,824.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> WOOD BURNING FIREPLACE WITH STAINLESS STEEL LINER <br /> APPLICANT MECHANICAL 72.80 <br /> CHIMNEY DOCTORS STATE SURCHARGE MECH(VALUATION) 2.91 <br /> P O BOX 240722 MAIL-IN FEE 2.00 <br /> APPLE VALLEY,MN 55124- TOTAL 77.71 <br /> (952)888-5252 Payment(s) <br /> CREDIT CARD 4277 77.71 <br /> OWNER <br /> BERGERSON&JILL WEINER-BERGERSON,THOMAS <br /> 3745 WATERTOWN RD <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 /> w, / 41ssuefdB_y0gnatureL l <br /> Applicant Pertnitee Signature Date Date <br />