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, . ; CITY OF ORONO * 2 0 1 6 — 0 0 7 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3438 LYRIC AVE <br /> PIN : 17-117-23-43-0077 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 023 BLOCK 005 <br /> PERMIT TYPE : IVIECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,275.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> HEAT&GLO GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.64 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 TOTAL 52.64 <br /> (952)495-2927 Payment(s) <br /> CHECK 23268 52.64 <br /> OWNER <br /> Landsource LLC <br /> KOHOUT,JAMISON <br /> 550 25TH AVE N <br /> ST CLOUD,MN 56303- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws 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. <br /> `�'l.(�a,�e� � 7 � � �/� <br /> Applicant Permitee Signature Date Issued By 'gnature Date <br />