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CITY OF ORONO I II <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 4 2 4 <br /> DATE ISSUED: 04/06/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2625 KELLY AVE <br /> PIN : 20-117-23-14-0026 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (3)TOWN&COUNTRY GAS FACTORY FIREPLACES <br /> APPLICANT MECHANICAL 75.00 <br /> STATE SURCHARGE MECH(VALUATION) 3.00 <br /> TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 <br /> 6521 CECILIA CIR <br /> EDINA,MN 55439- TOTAL 80.00 <br /> (952)777-4125 Payment(s) <br /> Minnesota State License#:mech-MB682977 CREDIT CARD 8820 80.00 <br /> OWNER <br /> ELLEN REDMOND REVOC TRUST <br /> 2625 KELLY AVE <br /> EXCELSIOR,MN 55331- <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. ,d <br /> PCAO 14=.1 <br /> Applicant Permitee Signature Date Issued B1gnature Date <br />