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• • CITY OF ORONO * 2 0 1 4 — 0 1 2 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1135 PINE VIEW DR <br /> PIN : 28-118-23-42-0008 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTROCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,595.00 <br /> NOTE: GAS FIREPLACE <br /> APPLICANT MECHANICAL 57.44 <br /> STATE SURCHARGE MECH(VALUATION) 2.30 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 61.74 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 61.74 <br /> OWNER <br /> VANYO,MICHAEL <br /> 6733 URBANDALE LN N <br /> MAPLE GROVE,MN 55311- <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which this pertnit 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 dces <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 construc[ion 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 assuripg all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> j✓�c.Q c..J �� ,.�._g �( <br /> /" i <br /> Applicant Permitee Signature Date Issued By ignature Date <br />