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, CITY OF ORONO * Z 0 1 6 - PJ 1 4 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U07/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1220 BRACKETTS POINT RD <br /> PIN : 11-]17-23-32-0018 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 1 GAS FIREPLACE ORTTAL OF:F:110 <br /> APPLICANT MECHANICAL 143.75 <br /> STATE SURCHARGE MECH(VALUATION) 5.75 <br /> WOODLAND STOVES&FIREPLACES <br /> 2901 E. FRANKLIN AVE. MAIL-IN FEE 2.00 <br /> MTNNEAPOLIS, MN 55403- TOTAL 151.50 <br /> (612)338-6606 Payment(s) <br /> CHECK 47094 151.50 <br /> OWNER <br /> HANNAFORD,JIJLE&ELIZABETH <br /> 1220 BRACKETTS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plaris 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 afrer 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 /> s,- _. .-� r <br /> , F <br /> J T ��.,�. L� � � �k`s-- �f� � l /�1 �� � <br /> Applicant Permitee Signature Date Issued Signature , Date <br />