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� CITY OF ORONO � 0 1 6 - 0 1 3 4� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2016 <br /> • ORONO, MN 55356- <br /> _� (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 81 HACKBERRY HILL <br /> p�� : 33-118-23-44-0014 <br /> I,EGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 008 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 125 <br /> WALTER MECHANICAL, INC. MA[L-IN FEE 2.00 <br /> 1013 E.CLIFF ROAD#101 <br /> BURNSVILLE, MN 55337 TOTAL 53.25 <br /> (952)895-1992 Payment(s) <br /> Minnesota State License#:mech-MB003448 CHECK 6178 53.25 <br /> OWNER <br /> STANKEVITZ,GEOFFREY&JENNIFER <br /> 81 HACKBERRY HILL <br /> LONG LAKE,MN 55356- <br /> AGREEMENT 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 grant permission for additional or related work�vhich requires separate <br /> permits. All provisions of laws and ordinances governing 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 die 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> � /OlH l / V <br /> Applicant Permitee Signature Date Issued By Sign re Date <br />