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r <br /> CITY OF ORONO * z 0 1 4 - 0 0 8 0 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2625 CASCADE LA <br /> PIN : 33-118-23-11-0116 <br /> LEGAL DESC : STONEBAY FIFTH ADDITION <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,200.00 <br /> NOTF�,: HEATILATOR GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGB MECH (VALUATION) 0.60 <br /> FIRESIDE HEARTH & HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 52.60 <br /> ROSEVILLE, MN 551 13 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CHECK 2004598 52.60 <br /> OWNER <br /> BUILDERS LLC, STONEBAY <br /> 16135 55TH AVENUE NORTH <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'l�he 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. 'I�his permit is fbr only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pemii[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hcrein.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 responsibie for assuring all required inspections are <br /> requesled in conformance with the State Building Code."I his permit may be <br /> revoked at anv time tbr due cause. <br /> . ` <br /> / / <br /> Applicant Permit�e Signature Date Issued By S� ature � Date <br />