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. • CITY OF ORONO * 2 0 1 5 - 0 0 3 0 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 114 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO1�ISTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,965.00 <br /> NOTE: GAS FACTORY['IREPLACE <br /> BRAND-HEAT-N-GLO <br /> MODEL#6000CL-IPI-T <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.48 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 53.48 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.48 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I'he work for which this permit is issued shall be performed according to <br /> [he 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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C� <br /> �✓Yl�_ �J l/� i/S <br /> Applicant Permitee Signature Date Issued By ignature Date <br />