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• CITY OF ORONO * 2014 - 01094 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3785 WATERTOWN RD <br /> PIN : 32-118-23-33-0002 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: (1)KOZY HEAT GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS <br /> STATE SURCHARGE MECH(VALUATION) 1.25 4342B SHADY OAK RD MAIL-IN FEE 2.00 <br /> HOPKINS,MN 55343 TOTAL 53.25 <br /> (952)933-1868 Payment(s) <br /> CREDIT CARD 5815 53.25 <br /> OWNER <br /> BROOKS,JAMES <br /> 3785 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 /> 9 i res, <br /> Applicant Permitee SigtrAture Date ISSLO By Signature Date <br />