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CITY OF ORONO <br /> ., * 20 13 - 0P1P1 15 * <br /> 2750 KELLEY PARKWAY UATE ISSUED: O1/OS/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3585 FREDERICK ST <br /> PIN : 20-117-23-12-0025 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�I TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,500.00 <br /> NO I E: 1 HGAT N GLO SLR-C G�1S FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 1.75 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.75 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> GORMAN,JOHN& SHERRY <br /> 3585 FREDERICK ST <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORIV STATEMENT <br /> The���ork 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 scparate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."1'his permit��ill <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 Yor 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.'I his permit may be <br /> revoked at any time for due cause. � <br /> `�'�"`�`�. `�'' / / / / <br /> Applicant Permitee Signature Date Issucd By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />