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* CITY OF ORONO * Z 0 1 5 - 0 P1 2 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1 141 ELMWOOD AVE <br /> PIN : 07-117-23-14-0027 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,150.00 <br /> NOTE: (l)HL;A'I'-N-GLO GAS F[R�PLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.57 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 52.57 <br /> (952)495-2927 Payment(s) <br /> CREDIT CARD 5324 52.57 <br /> OWNER <br /> ALNESS, RYAN& STACY <br /> 1141 ELMWOOD AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> Che 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 E3uilding Code. 'l�his permit is for only the work described and does <br /> no[grant permission Yor 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 /> "I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any[ime for due cause. <br /> �Yl�.��G2 � � � °2- f`' <br /> Applicant Permitee Signature Date Issued y Signature Date <br />