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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 6 - 0 PJ 0 6 7 * <br /> DATE ISSUED: OU19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3825 NORTH SHORE DR <br /> PIN : 17-117-23-22-0046 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,980.00 <br /> NOTE: ADDITIONAL FIREPLACE: 1 HEAT N'GLO <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.99 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 52.99 <br /> (952)495-2927 Payment(s) <br /> CHECK 22372 52.99 <br /> OWNER <br /> SUTTON,GREGG <br /> 3825 NORTH SHORE DR <br /> MOCTND, MN 55364- <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 Bui(ding Code. This permit is for onty 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 nuli and void ifconstruction 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 /> `Y�6'lC;�� � ���..��--� ; ,' <<� �_ �'� i ���_� �`,t � , � `�r , ��.- <br /> Applicant Permitee Signature Date Issued By Signatur Date <br />