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' CITY OF ORONO * Z 0 1 5 - 0 0 4 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 930 PARTENWOOD RD <br /> PIN : OS-117-23-21-0007 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,733.00 <br /> NOTE: 1NSTALLING(2)GAS FIREPLACES-GASLINE BY OTHER CONTRACTOR. <br /> APPLICANT MECHANICAL 121.66 <br /> STATE SURCHARGE MECH(VALUATION) 4.87 <br /> STATEWIDE GAS SERVICES MAIL-IN FEE 2.00 <br /> 201 WEST MAIN <br /> WACONIA,MN 55387- TOTAL 128.53 <br /> (952)442-3473 Payment(s) <br /> CHECK 128.53 128.53 <br /> OWNER <br /> MOORE, KIRK&PAM <br /> 27475 MAPLE RIDGE LANE <br /> SHOREWOOD, 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 cequires sepazate <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 /> � ��� <br /> �t_a-��� �_ t�li(,�✓� , � _ - .�� � <br /> Applicant Permitee Signature __ Date Issued By Signature Date <br />