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� w <br /> CITY OF ORONO * 2 0 1 7 — 0 1 4 e 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U13/2017 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 565 SANDHILL DR <br /> PIN : 33-118-23-24-0012 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 5 BLOCK 1 <br /> PERMTT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,813.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> INSTALL(HHT)GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.91 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 52.91 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.91 <br /> OWNER <br /> OPS Orono LLC <br /> 15250 WAYZATA BLVD#101 <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requ'ves separate <br /> permits. All provisions of Iaws and ordinances governing this type 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 conformance with the State Building Code."I'his permit may be <br /> revoked at any time for due cause. <br /> ,� � , �7 <br /> Applicant Permrtee Signature Date Issued B ignature Date <br />