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CITY OF ORONO I* z I I I II I0 11' I e III <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/01/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4105 HIGHWOOD RD <br /> PIN : 07-117-23-44-0014 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,746.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NAPOLEAN GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.37 <br /> METRO HOMES INSULATION TOTAL 51.37 <br /> 5861 QUEENS AVE NE <br /> Payment(s) <br /> ELK RIVER,MN 55330- CREDIT CARD 6426 51.37 <br /> (763)441-2313 <br /> Minnesota State License#:mech-MB722551 <br /> OWNER <br /> PETERSON,JASON <br /> 4105 HIGHWOOD RD <br /> MOUND,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 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 /> `e.---Y-nadae gO <br /> kt Co <br /> Applicant Permitee Signature Date Issued By!ignature Date <br />