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• CITY OF ORONO I I 11 1 II 1111111111 �* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1175 MOONEY LAKE DR <br /> PIN : 25-118-23-41-0017 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 8 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ORTAL GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 112.50 <br /> TWIN CITY FIREPLACE STONE CO INC STATE SURCHARGE MECH(VALUATION) 4.50 <br /> 6521 CECILIA CIR MAIL-IN FEE 2.00 <br /> EDINA,MN 55439- TOTAL 119.00 <br /> (952)777-4125 Payment(s) <br /> Minnesota State License#: mech-MB682977 CHECK 21879 119.00 <br /> OWNER <br /> ADELMAN,TIMOTHY <br /> 4545 TRILLIUM DRIVE <br /> MEDINA,MN 55340- <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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> A / // 7 <br /> A licant ermitee ignat e Date <br /> pp gn Issued B ignature I)ate <br />