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CITY OF ORONO * Z 0 1 6 - 0 1 4 5 2 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 1U21/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3683 NORTH SHORE DR <br /> PIN : 08-117-23-34-0053 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FACTORY FIREPLACE <br /> 50.00 <br /> APPLICANT MECHANICAL 1.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.00 <br /> TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 53.00 <br /> TOTAL <br /> 6521 CECILIA CIR <br /> EDINA,MT1 55439- Payment(s) 53.00 <br /> (952)777-4125 CREDIT CARD 5715 <br /> Minnesota State License#:mech-MB682977 <br /> OWNER <br /> RESSLER,JON <br /> 3683 NORTH SHORE DR <br /> WAYZATA,N1N 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perform rovals,an'dgthe <br /> the app�oved plans and specifications,applicable City app <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[his rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> exp�re and become null and void if consiruction authorized is not <br /> commenced within 180 days of the date of issuance,or if consuuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The app��cant 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. /��( ,l <br /> �r I� � z� �l� <br /> � ��, <br /> Date Is ed Signature <br /> Date <br /> ppplicant Pe itee natur <br /> ' <br />