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• CITY OF ORO O ���� <br /> • 2750 KELLEY PAR AY * 2 PJ 1 4 - 0 0 5 9 8 * <br /> DATE ISSUED: 06/13/2014 <br /> ' ORONO, MN 553 6- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 75 BAYSIDE TR <br /> PIN : 06-117-23-22-0030 <br /> LEGAL DESC : BAYSIDE MEADOWS <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(> $500) ! <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,500.00 I <br /> NOTE: 3 HEAT N GLO GAS FIREPI.ACF,S <br /> APPLICANT MECHAM AL 56.25 <br /> STATE SU CHARGE MECH (VALUATION) 2.25 <br /> FIRESIDE HEARTH& HOME MAIL-IN F E 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 60.50 <br /> ROSEVILLE, MN 55113 <br /> (651)633-2561 Payment(s <br /> Minnesota State License#: mech-20512060 CHECK 2004496 60.50 <br /> OWNER <br /> WACHMAN JR., ERVIN <br /> 21.i5 SALEM CT <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifcations,applicable City approvals,and the <br /> State Building Code. �]'his permit is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of wark <br /> shall be compied with whether or not specitied 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 timc after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h[he State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> l <br /> �i����"�^�� / / <br /> Applicant Permitee Signature Date Issued By Sign e Date <br />