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� CITYOFORONO * z0 15 - 00840 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BAYSIDE TR <br /> PIN : 06-117-23-22-0027 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,345.00 <br /> NOTE: HEAT-N-GLO GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 116.81 <br /> STATE SURCHARGE MECH(VALUATION) 4.67 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 123.48 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 123.48 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- <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 separa[e <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 I80 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 /> C <br /> , p ��� t�� � � � � �5 <br /> Applicant Permite ignature Date Iss d B Signature Date <br />