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CITY OF ORONO * 2 PJ 1 6 - 0 1 4 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U16/2016 <br /> � ORONO, MN 55356- <br /> j . (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1070 HUNTER DR <br /> PIN : 25-118-23-42-0008 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : MECHAMCAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATIOIY : $ 7,180.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW:GAS FIREPLACE(HHT) <br /> APPLICANT MECHANICAL 89.75 <br /> STATE SURCHARGE MECH(VALUATION) 3.59 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 95.34 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4616 95.34 <br /> OWNER <br /> GRONHOLZ, SCOTT&AMY <br /> 2008 SUGARWOOD DRNE <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich 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 Yor 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 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 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 /> / ' -- <br /> ���� <br /> �' �G�f� b�-- � � /�z.�-�L �I, �1�i /'fn <br /> Applicant Permitee Signature Date Issued By Signatu e Date <br />