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CITY OF ORONO II 11111111 11111111I Oil II <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1565 FAIRVIEW COTTAGE LA <br /> PIN : 07-117-23-43-9999 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 5 BLOCK 0 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 7,500.00 <br /> NOTE: (2)GAS FIREPLACES <br /> APPLICANT MECHANICAL 93.75 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.75 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 99.50 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> MARY SNYKER BECKER,TIMOTHY BECKER& <br /> 3432 19TH AVE S <br /> MINNEAPOLIS,MN 55413- <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 cau <br /> (j)/1"( <br /> _...) <br /> CApplicant Permitee Signature Date Issue By Signature i Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />