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� • CITY OF ORONO * Z 0 1 6 - 0 0 2 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 10 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0009 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: SUPERIOR GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> HAGEN FIREPLACE SOLUTIONS TOTAL 51.00 <br /> 435 FAIRVIEW AVE N <br /> CJNIT 2 Payment(s) <br /> ST PAUL, MN 55104- CHECK 2463 51.00 <br /> (612)839-7595 <br /> Miru�esota State License#:mech-MB680260 <br /> OWNER <br /> Chamberlain Capital LLC <br /> 11578 CHAMBERLAIN CT <br /> EDEN PRAIRIE,MN 55344- <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 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 Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> '�,��'-�s�-- 3��'� � -�c �� � i� �i f� <br /> D � <br /> App icant Permitee Signature Date Issued B Signature Date <br />