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� �. CITY OF ORONO * Z 0 1 5 — 0 0 2 6 5 * <br /> 2750 KELLEY PARKWAY pAT��ssuEn: 03/03/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 HERITAGE LA <br /> PIN : 10-117-23-13-0002 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,758.00 <br /> NO"CG: GAS FACTORY F[RL-;PLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUAT[ON) 1.88 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 53.88 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.88 <br /> OWNER <br /> ZIEGLER& KELLY RISCHE, DAVID <br /> l 180 HERITAGE LA <br /> WAY7_ATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which tliis permit is issued shall be perfornied according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. �Chis pennit is for only the work described and does <br /> not grant permission f<�r additional or related work which requires separate <br /> pcnnits. All provisions of laws and ordinances governing this type of work <br /> sl�all be compied�vith 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 are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �1'Ylcc�.�d � � �� � <br /> Applicant Permitee Signature Date [s u 'd I3y Signature Date <br />