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� , CITY OF ORONO * Z 0 1 5 - 0 0 7 2 4 * <br /> + 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3630 EILEEN ST <br /> PIN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,300.00 <br /> NOTE: 1 REGENCY HEATING SYSTEM&GAS FIREPLACE <br /> APPLICANT MECHANICAL 53.75 <br /> STATE SURCHARGE MECH(VALUATION) 2.15 <br /> THE FIREPLACE GUYS MAIL-IN FEE 2.00 <br /> 680 HALE AVE N <br /> SUITE 110 TOTAL 5�.90 <br /> OAKDALE,MN 55128- Payment(s) <br /> (612)326-1919 CHECK 12693 57.90 <br /> Minnesota State License#: mech-MB643168 <br /> OWNER <br /> MCCUTCHEON,MARK&JAYME <br /> 3630 EILEEN ST <br /> MAPLE PLAIN, MN 55359- <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 addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> 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. ;:J,,, <br /> � `�J <br /> C la, I O�,f �0 l� � � ,� <br /> � � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />