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_ � CITY OF ORONO * z p� 1 3 - 0 0 z S B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2013 <br /> ORONO, MN 55356- <br /> 952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 HUNTER PASS <br /> PIN : 25-118-23-31-0008 <br /> LEGAL DESC : HUNTER PASS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,700.00 <br /> NOTE: HEAT N GLO SL 750TRS-IPI-E GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 135 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.35 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> Tonkawa,Inc. <br /> 301 CARLSON PKWY#275 <br /> MINNETONKA,MN 55305- <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 additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified harein.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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due L`ause. <br /> ���� `l�C- / / l l <br /> Applicant Permitee Signature Date Issued By ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />