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CITY OF ORONO * z 0 1 3 — 0 0 7 4 1 * <br /> 2750 KELLEY PARKWAY �ATE [SSUEn: 07/30/2013 <br /> � ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 139 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0025 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: 1 VALOR HORIZON GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 MAIL-IN FEE 2.00 <br /> (952)933-1868 TOTAL 53.00 <br /> OWNER <br /> BELTRAND, BYAN & WENDY <br /> 139 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> ACREEMENT 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 docs <br /> not gran[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 specitied 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 construc[ion is <br /> suspended for a period of 180 days at any time after�vork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for d�e cause� <br /> \�%�'`-ri"�. � � � / <br /> Applicant Permitee Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A <br />