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, CITY OF ORONO * 2 0 1 4 - 0 0 7 1 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 <br /> � ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1565 MAPLE PL <br /> PIN : 08-117-23-33-0031 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 009 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,070.00 <br /> NOTE: 1 LENNOX GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.54 <br /> 100 ELDORADO DRIVE TOTAL 50.54 <br /> JORDAN,MN 55352 Payment(s) <br /> (952)495-292'7 CHECK 19209 50.54 <br /> OWNER <br /> Maple Place LLC <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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws 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 /> i <br /> �"__ " / / <br /> Applicant Permitee Signature Date Issued By i nature te <br />