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* <br />. CITY OF ORONO * 2 0 1 5 - 0 1 3 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 825 HLTNT FARM RD <br /> PIN : 30-118-23-44-0003 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,761.00 <br /> NOTE: HEAT N GLO FIREPLACE <br /> APPLICANT MECHANICAL 59.52 <br /> STATE SURCHARGE MECH(VALUATIOI� 2.38 <br /> THE FIREPLACE GUYS MAIL-IN FEE 2.00 <br /> 680 HALE AVE N <br /> SUITE 110 TOTAL 63.90 <br /> OAKDALE,MN 5512& Payment(s) <br /> (612)326-1919 CHECK 13073 63.90 <br /> Minnesota State License#:mech-MB643168 <br /> OWNER <br /> KRASSIN,JABIN <br /> 825 HLTNT FARM RD <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 specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for 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 /> The appticant 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 lJl.l( O�C/�/° • ��...����D� / / � <br /> Applicant Permitee Signature Date Issued By Signat e Dhte <br />