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CITY OF ORONO * z 0 1 6 — 0 0 1 z 0 * <br /> -- 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 <br />' ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1220 LAKEVIEW AVE <br /> PIN : 10-117-23-24-0019 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,700.00 <br /> NOTE: GAS FIREPLACE(HEAT N GLO) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.85 <br /> MASTER GAS FITTERS,INC. TOTAL 51.85 <br /> 2242 JENNIFER LANE Payment(s) <br /> NORTH ST PAUL, MN 55109- CHECK 11995 51.85 <br /> (651)248-3603 <br /> Minnesota State License#:mech-MB3478 <br /> OWNER <br /> SCHNOOR,MR.&MRS. DOUGLAS <br /> 1220 LAKEV[EW AVE <br /> WAYZATA, MN 55391 <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 Ciry 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 separate <br /> permi[s. All provisions of laws and ordinances governing this rype 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 L80 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 /> v�-8"-/� �Z(.; �'1 ��L�`--4 -��` `z � `� � � �c <br /> A �cant Permitee Signature Date Issued By Signature Date <br />