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CITY OF ORONO * Z 0 1 5 - 0 0 5 Z 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 673 SANDSTONE CIR <br /> PIN : 33-118-23-I1-0039 <br /> LEGAL DESC : STONEBAY <br /> : LOT 036 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATTON : $ 1,000.00 <br /> NOTE: SUPERIOR FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> HAGEN FIREPLACE SOLUTIONS TOTAL 50.50 <br /> 435 FAIRVIEW AVE N Payment(s) <br /> LJNIT 2 CHECK 2254 50.50 <br /> ST PAUL,MN 55104- <br /> (612)839-7595 <br /> Minnesota State License#: mech-MB680260 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON,MN 55327- <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 /> permits. All provisions of laws 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.This permit may be <br /> revoked at any time for due cause. � ^ � <br /> %" �� <br /> •.--- �f <br /> - "�(,�l�„ � � J�j \ `-�\(,�- �-,.7 � / ( / / � <br /> Applicant Permitee Signature ate Issued By Signature Date <br />