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� CITY OF ORONO * Z 0 1 5 — 0 1 0 9 3 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2850 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0007 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,000.00 <br /> NOTE: GAS LOG IN MASONRY FIREPLACE <br /> GAS PIPING TO GAS LOG <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> MASTER HEATING&COOLING LLC TOTAL 50.50 <br /> 4963 70TH AVENUE Payment(s) <br /> LORETTO,MN 55357 CHECK 7133 50.50 <br /> (763)498-7883 <br /> OWNER <br /> SWENSON,JAY <br /> 2850 LITTLE ORCHARD WAY <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 plans and specifications,applicable Ciry 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 /> permiu. All provisions of laws and ordinances governing this rype 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �.-27- 8�,a7,/5 <br /> App�cant Permitee ignature Date Issued ignature Date <br />