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� ' CITY OF ORONO * Z 0 1 Z - 0 0 6 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 114 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: GAS �ACTORY FIREPLACE-BRAND-H-N-G-ESCAPE I30-C <br /> APPLICANT MECHANICAL 50.00 <br /> FIRES[DE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 1.50 <br /> 2700 FAIRVIEW AVE TOTAL 51.50 <br /> ROSEVILLE, MN 55113 <br /> (651)633-2561 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and spccitications,applicable City approvals,and the <br /> State I3uilding Code. This pern�it 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 goveming this type of work <br /> shall bc compied with whether or not specified hercin.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 /> �`L�..� ���•� � l � � / i Z- � ��/ <br /> / <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRF,n FOR WORK OTHER THAN DESCRBED ABOVE. <br />