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t � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z H 1 4 - 0 1 4 4 2 * <br /> DATE ISSUED: 12/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 71 1 SANDSTONE CIR <br /> PIN : 33-118-23-11-0045 <br /> LEGAL DESC : STONEBAY <br /> : LOT' 042 BLOCK 001 <br /> PF,RMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,600.00 <br /> NO'I'E: NOVUS GnS I'ACTORY l'IREP[.ACF. <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.80 <br /> FIKESIUF, HEARTH & HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 TOTAL 52.80 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.80 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LA <br /> DAYTON, MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pernlit is issucd shall be performed according to <br /> the approved plans and specifications,applicablc City 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 goveming this type ofwork <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and beeome 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 al�ter work has commenced. <br /> I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.'Chis permit may be <br /> revoked at any time for duc causc. <br /> Q �- � �-- � 17� l <br /> Applicant Permitce Signature Date Issue By Signature Date <br />