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i CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 4 1 7 <br /> DATE ISSUED: 11/09/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 970 TONKAWA RD <br /> PIN 08-117-23-12-0002 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,645.75 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)HHT ESCAPE I-30 GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 58.07 <br /> STATE SURCHARGE MECH(VALUATION) 2.32 <br /> FIRESIDE HEARTH&HOME TOTAL 60.39 <br /> 2700 FAIRVIEW AVE Payment(s) <br /> ROSEVILLE,MN 55113 CREDIT CARD 4616 60.39 <br /> (651)633-2561 <br /> Minnesota State License#:mech-20512060 <br /> OWNER <br /> BAKER,GARY <br /> 970 TONKA WA RD <br /> LONG LAKE,MN 55356- <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 /> col /// �l //4 <br /> Appl' ee Si ur Date Issued 133Wignatuire Date <br />