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CITY OF ORONO I* z 01 I 1111 <br /> 0 . 6 III*I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3017 NORTH SHORE DR <br /> PIN : 09-117-23-32-0002 <br /> LEGAL DESC : CORONADO BEACH LK MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 22,235.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRAND/HNG-TRUE-50S <br /> (2)HNG-TRUE-50H-IFT <br /> (1)BRAND/TOWN&COUNTRY/TC42.D2 <br /> APPLICANT MECHANICAL 277.94 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 11.12 <br /> 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN,MN 55352 TOTAL 291.06 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#:mech-MB005786 CREDIT CARD 6025 291.06 <br /> OWNER <br /> BLUE,JAMES <br /> 9610 SKY LA <br /> EDEN PRAIRIE,MN 55347- <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. &)C. )t <br /> I d) /, 1 5 / /7 <br /> Applicant Perrnitee Signature Date Issued By Si$ature Date <br />