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r <br /> CITY OF ORONO * 2 0 1 7 - 0 1 5 4 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/22/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1220 TONKAWA RD <br /> PIN : 08-117-23-42-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.217 <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 3,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FACTORY FIREPLACE <br /> BRAND NAME: VALOR H6 <br /> APPLICANT MECHANICAL 50.00 <br /> WALTER MECHANICAL,INC. <br /> STATE SURCHARGE MECH(VALUATION) 1.50 517 WEST TRAVELERS TRAIL MAIL-IN FEE 2.00 <br /> BURNSVILLE,MN 55337 TOTAL 53.50 <br /> (952)895-1992 Payment(s) <br /> Minnesota State License#:mech-MB003448 CHECK 6679 53.50 <br /> OWNER <br /> EBERTZ,MICHEAL&DONNA <br /> 1220 TONKAWA 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 /> Applicant Permitee Signature Date Issued W Si lure Date <br />