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_. CITY OF ORONO * z 0 1 5 — 0 0 0 1 7 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: OU06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4315 NORTH SHORE DR <br /> PIN : 07-117-23-43-0028 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATIOIY : $ 6,000.00 <br /> NOTE: "I'OWN&COUNTRY TC36 AND TC42 FIREPLACES <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.00 <br /> TWIN CITY FIREPLACE STONE CO INC MISC FEE 2.00 <br /> 6521 CECILIA CIR <br /> EDINA, MN 55439- TOTAL 80.00 <br /> (952)941-2685 Payment(s) <br /> Minnesota State License#: mech-MB682977 CHECK 201069 80.00 <br /> OWNER <br /> CLEVELAND, BRADLEY&PAT <br /> 4520 JUNEAU LANE N <br /> PLYMOUTH,MN 55446- <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 inspec[ions are <br /> requested in conformance with[he Sta[e Building Code.This permit may be ) <br /> � 6_l <br /> revoked at any time for due cause. ({ <br /> '" , � _ <br /> ���/�___ _ � � /✓`� ��-�---�---� C`�l'`�- i ,; t'"! � � �, � � c;� — — <br /> � <br /> Applicant Permitee Signature ate Issued By Signature Date <br />