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� , , CITY OF ORONO * z 0 1 5 - � 0 1 8 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015 <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 /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,000.00 <br /> NOTE: GAS FACTORY FIREPLACG <br /> (2)BATH EXHAUST <br /> GASLINE POR FIREPLACE AND DRYER <br /> APPL[CANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> SAM HENDRICKSON PLBG&HEATING INC MAIL-IN FEE 2.00 <br /> 29901 725TH AVE <br /> DASSEL, MN 55325- TOTAL 52.50 <br /> Minnesota State License#: mech-005006 Payment(s) <br /> CREDIT CARD 7507 52.50 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> '1'he 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 /> no[grant permission for additional or related work which requires separa[e <br /> permi[s. 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 nuli and void ifconstruction authorized is not <br /> commenced within 180 days of[he da[e 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 /> C`7/1-1�!c-t�C�� � l�� i�,S <br /> Applicant Permitee Signa re Date Iss d By Signature Date <br />